Active NPI
Blake Estape, DIPL. O.M., L.AC.
- Acupuncturist
- Palmetto Bay, FL
National Provider Identifier
1780241521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP4049
- Practice address
- 5848 Paradise Point Dr
Palmetto Bay, FL 33157-2646 - Phone
- (786) 606-3476
- NPI assigned
- May 28, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP4049 | FL | Primary |
Addresses
Primary practice location
5848 Paradise Point Dr
Palmetto Bay, FL 33157-2646
Mailing address
5848 Paradise Point Dr
Palmetto Bay, FL 33157-2646
Phone (786) 606-3476
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP4049 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1780241521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5848 PARADISE POINT DR",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331572646",
"telephone_number": "786-606-3476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5848 PARADISE POINT DR",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331572646",
"telephone_number": "786-606-3476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTAPE",
"first_name": "BLAKE",
"name_prefix": "Mr.",
"credential": "DIPL. O.M., L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-28",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP4049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmetto Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.