Organization Active NPI

Shaffer & Lichy de Lichy Ap, PA

  • Acupuncturist
  • North Miami Beach, FL
National Provider Identifier
1992075659
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP1354 Issued in FL
Legal business name
SHAFFER & LICHY DE LICHY AP, PA
Practice address
15251 NE 18TH Ave
Suite 12
North Miami Beach, FL 33162-6039
Phone
(305) 944-1290
Fax
(305) 944-1236
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Mr. Theodore Shaffer, A.P.
Title
Vice President
Phone
(305) 944-1290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AP1354 FL Primary

Addresses

Primary practice location

15251 NE 18TH Ave
Suite 12
North Miami Beach, FL 33162-6039

Mailing address

15251 NE 18TH Ave
Suite 12
North Miami Beach, FL 33162-6039
Phone (305) 944-1290

National Provider Directory

National Provider Directory

Locations

15251 NE 18th Ave
Ste 12
North Miami Beach, FL 33162
Phone (305) 405-0445

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1992075659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15251 NE 18TH AVE",
            "address_2": "SUITE 12",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331626039",
            "telephone_number": "305-944-1290",
            "fax_number": "305-944-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15251 NE 18TH AVE",
            "address_2": "SUITE 12",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331626039",
            "telephone_number": "305-944-1290",
            "fax_number": "305-944-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFFER & LICHY DE LICHY AP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-944-1290",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "A.P."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP1354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.