Active NPI
Nancy Deborah Clark, A.P.
- Acupuncturist
- North Miami, FL
National Provider Identifier
1861517716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 891
- Practice address
- 2134 NE 123Rd St
North Miami, FL 33181-2902 - Phone
- (305) 981-7958
- Fax
- (305) 981-7961
- NPI assigned
- Mar 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 891 | FL | Primary |
Addresses
Primary practice location
2134 NE 123Rd St
North Miami, FL 33181-2902
Mailing address
2134 NE 123Rd St
North Miami, FL 33181-2902
Phone (305) 981-7958
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 |
|---|---|---|---|
| 891 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shen Ming Co | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861517716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2134 NE 123RD ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331812902",
"telephone_number": "305-981-7958",
"fax_number": "305-981-7961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2134 NE 123RD ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331812902",
"telephone_number": "305-981-7958",
"fax_number": "305-981-7961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "NANCY",
"middle_name": "DEBORAH",
"name_prefix": "Ms.",
"credential": "A.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.