Individual provider Active NPI

Valentina Khoury Dubasik, ND, LAC

  • Acupuncturist
  • Boardman, OH
National Provider Identifier
1750625596
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
65.000311 Issued in OH
Practice address
755 Boardman Canfield Rd
Suite D3
Boardman, OH 44512-4300
Phone
(330) 729-1350
NPI assigned
Nov 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 12-1347 AZ
Acupuncturist 171100000X 65.000311 OH Primary

Addresses

Primary practice location

755 Boardman Canfield Rd
Suite D3
Boardman, OH 44512-4300

Mailing address

2458 Demington Dr
Cleveland Heights, OH 44106-3620
Phone (330) 307-7358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
65.000311OHMDAcupuncturist
12-1347AZMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Naturopathic, LLC Naturopath Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1750625596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2458 DEMINGTON DR",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441063620",
            "telephone_number": "330-307-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 BOARDMAN CANFIELD RD",
            "address_2": "SUITE D3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124300",
            "telephone_number": "330-729-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBASIK",
        "first_name": "VALENTINA",
        "middle_name": "KHOURY",
        "name_prefix": "Dr.",
        "credential": "ND, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-17",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "12-1347",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "65.000311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.