Individual provider Active NPI

Mario Dube, D.O.M.

  • Acupuncturist
  • Lakewood Ranch, FL
National Provider Identifier
1972808103
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 2931 Issued in FL
Practice address
9114 Town Center Pkwy
Ste 101
Lakewood Ranch, FL 34202-5054
Phone
(941) 351-4949
Fax
(941) 351-3033
NPI assigned
Jan 19, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP 2931 FL Primary

Addresses

Primary practice location

9114 Town Center Pkwy
Ste 101
Lakewood Ranch, FL 34202-5054

Mailing address

9114 Town Center Pkwy
Ste 101
Lakewood Ranch, FL 34202-5054
Phone (941) 351-4949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP 2931FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1972808103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 TOWN CENTER PKWY",
            "address_2": "STE 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025054",
            "telephone_number": "941-351-4949",
            "fax_number": "941-351-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 TOWN CENTER PKWY",
            "address_2": "STE 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025054",
            "telephone_number": "941-351-4949",
            "fax_number": "941-351-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBE",
        "first_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "D.O.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-19",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 2931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.