321 Acupuncture LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

321 ACUPUNCTURE LLC

Practice address

5200 Babcock St NE Ste 201
Palm Bay, FL 32905-4644

Phone

(407) 572-5849

NPI assigned

Jan 28, 2020

Organization subpart

No

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

Authorized official

Name

Shane J Burr, LAC

Title

Owner/Acupuncture Physician

Phone

(407) 572-5849

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1922639921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 HAWAII AVE NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329077763",
            "telephone_number": "407-572-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 BABCOCK ST NE STE 201",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054644",
            "telephone_number": "407-572-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "321 ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "BURR",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURE PHYSICIAN",
        "authorized_official_telephone_number": "407-572-5849",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.