Organization Active NPI

Robert Sabljak

  • Acupuncturist
  • New Smyrna Beach, FL
National Provider Identifier
1841803434
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ROBERT SABLJAK
Practice address
429 Canal St
New Smyrna Beach, FL 32168-7009
Phone
(386) 426-1290
Fax
(386) 426-1290
NPI assigned
Aug 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Robert S Sabljak, AP
Title
Owner
Phone
(386) 426-1290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

429 Canal St
New Smyrna Beach, FL 32168-7009

Mailing address

429 Canal St
New Smyrna Beach, FL 32168-7009
Phone (386) 426-1290

Other identifiers 1

IdentifierTypeStateIssuer
102475100MedicaidFL

National Provider Directory

National Provider Directory

Locations

429 Canal St
New Smyrna Beach, FL 32168
Phone (386) 426-1290

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1841803434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 CANAL ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687009",
            "telephone_number": "386-426-1290",
            "fax_number": "386-426-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 CANAL ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687009",
            "telephone_number": "386-426-1290",
            "fax_number": "386-426-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT SABLJAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "SABLJAK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-426-1290",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102475100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.