Organization Active NPI

Humble Buddha, Inc.

  • Acupuncturist
  • Fort Lauderdale, FL
National Provider Identifier
1871069146
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
HUMBLE BUDDHA, INC.
Practice address
3305 NE 33Rd St
Fort Lauderdale, FL 33308-7109
Phone
(954) 909-4923
NPI assigned
Oct 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Authorized official

Name
Misty Davis
Title
Owner
Phone
(954) 909-4923

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X Primary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

3305 NE 33Rd St
Fort Lauderdale, FL 33308-7109

Mailing address

3305 NE 33Rd St
Fort Lauderdale, FL 33308-7109
Phone (954) 909-4923

National Provider Directory

National Provider Directory

Locations

3305 NE 33rd St
Ft Lauderdale, FL 33308
Phone (954) 565-8122

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1871069146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 NE 33RD ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087109",
            "telephone_number": "954-909-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 NE 33RD ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087109",
            "telephone_number": "954-909-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBLE BUDDHA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-909-4923"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.