Individual provider Active NPI

Bo-Shih Ni, L AC

  • Acupuncturist
  • Melbourne, FL
National Provider Identifier
1851591002
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP356 Issued in FL
Practice address
1250 W Eau Gallie Blvd
Suite H
Melbourne, FL 32935-5383
Phone
(321) 757-9731
Fax
(321) 757-5069
NPI assigned
Jul 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP356 FL Primary

Addresses

Primary practice location

1250 W Eau Gallie Blvd
Suite H
Melbourne, FL 32935-5383

Mailing address

1250 W Eau Gallie Blvd
Suite H
Melbourne, FL 32935-5383
Phone (321) 757-9731

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
AP356FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1851591002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W EAU GALLIE BLVD",
            "address_2": "SUITE H",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355383",
            "telephone_number": "321-757-9731",
            "fax_number": "321-757-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W EAU GALLIE BLVD",
            "address_2": "SUITE H",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355383",
            "telephone_number": "321-757-9731",
            "fax_number": "321-757-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NI",
        "first_name": "BO-SHIH",
        "credential": "L AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.