Organization Active NPI

Holistic Primary Care LLC

  • Acupuncturist
  • Miami Beach, FL
National Provider Identifier
1801104690
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2881 Issued in FL
Legal business name
HOLISTIC PRIMARY CARE LLC
Practice address
1330 West Ave
Ste C402
Miami Beach, FL 33139-0900
Phone
(305) 812-6779
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Donald M Eisenman, A.P.
Title
Member
Phone
(305) 812-6779

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP2881 FL Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP2884 FL
MechanotherapistGroup: 193200000X MULTI-SPECIALTY GROUP 172M00000X MA40831 FL

Addresses

Primary practice location

1330 West Ave
Ste C402
Miami Beach, FL 33139-0900

Mailing address

1330 West Ave
Ste C402
Miami Beach, FL 33139-0900
Phone (305) 812-6779

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1801104690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 WEST AVE",
            "address_2": "STE C402",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331390900",
            "telephone_number": "305-812-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 WEST AVE",
            "address_2": "STE C402",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331390900",
            "telephone_number": "305-812-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "EISENMAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "305-812-6779",
        "authorized_official_credential": "A.P."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2881",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2884",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA40831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.