Individual provider Active NPI

David Santiago Jr., L.M.T.

  • Contractor
  • Tampa, FL
National Provider Identifier
1780919209
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
MA57107 Issued in FL
Practice address
6821 W Hillsborough Ave
Suite 18
Tampa, FL 33634-5003
Phone
(813) 443-4593
Fax
(813) 443-4595
NPI assigned
Oct 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X MA57107 FL Primary

Addresses

Primary practice location

6821 W Hillsborough Ave
Suite 18
Tampa, FL 33634-5003

Mailing address

2286 Cedar Trace Cir
Tampa, FL 33613-2586
Phone (813) 480-8113

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
MA57107FLMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Touch, LLC 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": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255651200000",
    "number": "1780919209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2286 CEDAR TRACE CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132586",
            "telephone_number": "813-480-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 W HILLSBOROUGH AVE",
            "address_2": "SUITE 18",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345003",
            "telephone_number": "813-443-4593",
            "fax_number": "813-443-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "MA57107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.