Individual provider Active NPI

David Green Jr., A.P. , DIPL. O.M.

  • Acupuncturist
  • Boynton Beach, FL
National Provider Identifier
1770734642
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2597 Issued in FL
Practice address
8198 S Jog Rd Ste 203
Boynton Beach, FL 33472-6903
Phone
(561) 244-5424
NPI assigned
Oct 8, 2008
Last updated
Jan 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP2597 FL Primary

Addresses

Primary practice location

8198 S Jog Rd Ste 203
Boynton Beach, FL 33472-6903

Mailing address

8196 White Rock Cir
Boynton Beach, FL 33436-1742
Phone (561) 414-6915

Other practice location 1

75 NE 6th Ave
202
Delray Beach, FL 33483-5435
Phone (561) 414-6915

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
AP2597FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Green Acupuncture LLC Acupuncturist Past Accepting new patients
Green Acupuncture LLC Acupuncturist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1770734642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8196 WHITE ROCK CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361742",
            "telephone_number": "561-414-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8198 S JOG RD STE 203",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334726903",
            "telephone_number": "561-244-5424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 NE 6th Ave",
            "address_2": "202",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334835435",
            "country_code": "US",
            "telephone_number": "561-414-6915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "A.P. , DIPL. O.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.