Dancing Phoenix PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP3056 Issued in FL

Legal business name

DANCING PHOENIX PLLC

Practice address

2850 Isabella Blvd Ste 50
Jacksonville Beach, FL 32250-8004

Phone

(904) 651-0940

NPI assigned

Apr 9, 2013

Last updated

Apr 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah P Wilde, APNPI 1760725956

Title

Acupuncturist/Owner

Phone

(904) 651-0940

Specialties & licenses 1

Addresses

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.

• Sarah Paige Wilde, A.P.

  • Acupuncturist
  • Jacksonville Beach, FL
  • NPI 1760725956
  NPD (past) Authorized official

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1942643978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3373 PINTAIL DR N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503041",
            "telephone_number": "904-651-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 ISABELLA BLVD STE 50",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322508004",
            "telephone_number": "904-651-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANCING PHOENIX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "WILDE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ACUPUNCTURIST/OWNER",
        "authorized_official_telephone_number": "904-651-0940",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cullum Chiropractic Centers Inc
• Kristen E Currie, M.D.
• Carla Cutter, LMT
• Marilyn Kay Dahl, RD, MBA, LD/N
• John Dallarosa, M.D.
• Darryl a. Field, DDS, PA, LLC
• Chelsey Millstone Dasher, RD
• Davenport Chiropractic, P.a.
• David C Blackmon,PHD,Psych SVC
• Agnes G. David, M. D.

• Acupuncturist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.