Active NPI
Diana Centofanti, D.O.M.
- Acupuncturist
- Melbourne, FL
National Provider Identifier
1861266264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP4431
- Practice address
- 930 S Harbor City Blvd Ste 502
Melbourne, FL 32901-1967 - Phone
- (786) 253-9119
- NPI assigned
- Nov 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP4431 | FL | Primary |
Addresses
Primary practice location
930 S Harbor City Blvd Ste 502
Melbourne, FL 32901-1967
Mailing address
15 Hardee Cir S
Rockledge, FL 32955-2408
Phone (786) 253-9119
Other practice location 1
1727 N Atlantic Ave
Cocoa Beach, FL 32931-3226
Phone (786) 253-9119
Other practice location 2
1727 N Atlantic Ave
Cocoa Beach, FL 32931-3226
Phone (786) 253-9119
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP4431 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1861266264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 HARDEE CIR S",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552408",
"telephone_number": "786-253-9119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 S HARBOR CITY BLVD STE 502",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329011967",
"telephone_number": "786-253-9119"
}
],
"practiceLocations": [
{
"address_1": "1727 N Atlantic Ave",
"address_purpose": "LOCATION",
"city": "Cocoa Beach",
"state": "FL",
"postal_code": "329313226",
"country_code": "US",
"telephone_number": "786-253-9119",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1727 N Atlantic Ave",
"address_purpose": "LOCATION",
"city": "Cocoa Beach",
"state": "FL",
"postal_code": "329313226",
"country_code": "US",
"telephone_number": "786-253-9119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CENTOFANTI",
"first_name": "DIANA",
"credential": "D.O.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-07",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP4431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.