Derun Clinic

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

AP3262 Issued in FL

Legal business name

DERUN CLINIC

Practice address

144 S Federal Hwy
Boca Raton, FL 33432-4920

Phone

(561) 609-9555

NPI assigned

Sep 30, 2016

Last updated

Apr 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Xin Tong, APNPI 1124553417

Title

Owner

Phone

(561) 609-9555

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Xin Tong, A.P

  • Acupuncturist
  • Boca Raton, FL
  • NPI 1124553417
  NPD (past) Authorized official
• Evan Alan Marcus, AP

  • Acupuncturist
  • Beckley, WV
  • NPI 1669907952
  NPD (past)

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1811446933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324920",
            "telephone_number": "561-609-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324920",
            "telephone_number": "561-609-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERUN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "XIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-609-9555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "AP3566",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "AP3743",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "AP3262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.