Organization Active NPI

St Augustine Acupuncture Centre Inc

  • Clinic/Center
  • St Augustine, FL
National Provider Identifier
1720261076
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH 5056 Issued in FL
Legal business name
ST AUGUSTINE ACUPUNCTURE CENTRE INC
Practice address
6349 Salado Rd
St Augustine, FL 32080-7665
Phone
(904) 806-1417
Fax
(866) 493-3028
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ronald Gilbert Vail, DC
Title
Ceo
Phone
(904) 806-1417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH 5056 FL Primary

Addresses

Primary practice location

6349 Salado Rd
St Augustine, FL 32080-7665

Mailing address

6349 Salado Rd
St Augustine, FL 32080-7665
Phone (904) 806-1417

National Provider Directory

National Provider Directory

Locations

5 Sanchez Ave
#A
Saint Augustine, FL 32084
Phone (304) 501-1271

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1720261076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6349 SALADO RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320807665",
            "telephone_number": "904-806-1417",
            "fax_number": "866-493-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6349 SALADO RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320807665",
            "telephone_number": "904-806-1417",
            "fax_number": "866-493-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST AUGUSTINE ACUPUNCTURE CENTRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "VAIL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-806-1417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH 5056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.