Organization Active NPI

Ocean Park Wellness LLC

  • Acupuncturist
  • Port Orange, FL
National Provider Identifier
1881418911
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
OCEAN PARK WELLNESS LLC
Practice address
5656 Isabelle Ave Ste 6
Port Orange, FL 32127-6255
Phone
(386) 847-9797
NPI assigned
Nov 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Dr. Lanika Buchanan, ND, APNPI 1255486650
Title
Provider
Phone
(386) 847-9797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X

Addresses

Primary practice location

5656 Isabelle Ave Ste 6
Port Orange, FL 32127-6255

Mailing address

5656 Isabelle Ave Ste 6
Port Orange, FL 32127-6255
Phone (386) 847-9797

National Provider Directory

National Provider Directory

Locations

5656 Isabelle Ave
Ste 6
Port Orange, FL 32127
Phone (386) 487-4000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1881418911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 ISABELLE AVE STE 6",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321276255",
            "telephone_number": "386-847-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 ISABELLE AVE STE 6",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321276255",
            "telephone_number": "386-847-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN PARK WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "LANIKA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "386-847-9797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.