Organization Active NPI

Caduceus Acupunture Medical Center LLC

  • Acupuncturist
  • West Palm Beach, FL
National Provider Identifier
1942607973
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2382 Issued in FL
Legal business name
CADUCEUS ACUPUNTURE MEDICAL CENTER LLC
Practice address
1195 N Military TRL
Suite 5 B
West Palm Beach, FL 33409-6058
Phone
(561) 557-2138
Fax
(561) 215-5059
NPI assigned
Nov 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Kesnel Theus, AP
Title
President/Owner/Provider
Phone
(561) 557-2138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP2382 FL Primary

Addresses

Primary practice location

1195 N Military TRL
Suite 5 B
West Palm Beach, FL 33409-6058

Mailing address

1195 N Military TRL
Suite 5 B
West Palm Beach, FL 33409-6058
Phone (561) 557-2138

Other identifiers 1

IdentifierTypeStateIssuer
AP2382OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1942607973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 N MILITARY TRL",
            "address_2": "SUITE 5 B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096058",
            "telephone_number": "561-557-2138",
            "fax_number": "561-215-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 N MILITARY TRL",
            "address_2": "SUITE 5 B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096058",
            "telephone_number": "561-557-2138",
            "fax_number": "561-215-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADUCEUS ACUPUNTURE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "THEUS",
        "authorized_official_first_name": "KESNEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/PROVIDER",
        "authorized_official_telephone_number": "561-557-2138",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "AP2382",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.