NPIMap

Organization Active NPI

Classical Oriental Medicine LLC

  • Health Service Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1881925352
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
AP2398 Issued in FL
Legal business name
CLASSICAL ORIENTAL MEDICINE LLC
Practice address
3459 W Woolbright Rd
Boynton Beach, FL 33436-7246
Phone
(561) 932-3905
NPI assigned
Jan 24, 2010
Last updated
Jun 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Dr. Nelya De BrunNPI 1609065002
Title
Owner
Phone
(561) 932-3905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X AP2398 FL Primary

Addresses

Primary practice location

3459 W Woolbright Rd
Boynton Beach, FL 33436-7246

Mailing address

3459 W Woolbright Rd
Boynton Beach, FL 33436-7246
Phone (561) 932-3905

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1881925352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3459 W WOOLBRIGHT RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367246",
            "telephone_number": "561-932-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 W WOOLBRIGHT RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367246",
            "telephone_number": "561-932-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSICAL ORIENTAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-24",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "DE BRUN",
        "authorized_official_first_name": "NELYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-932-3905",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "AP2398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.