Organization Active NPI

Yedam Well-Being Center Inc

  • Acupuncturist
  • Annandale, VA
National Provider Identifier
1003260860
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121000632 Issued in VA
Legal business name
YEDAM WELL-BEING CENTER INC
Practice address
4600 John Marr Dr Ste 402
Annandale, VA 22003-3310
Phone
(703) 942-8858
NPI assigned
Apr 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Hoyoon ChongNPI 1336472752
Title
Acupuncturist
Phone
(703) 942-8858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 0121000632 VA Primary

Addresses

Primary practice location

4600 John Marr Dr Ste 402
Annandale, VA 22003-3310

Mailing address

4600 John Marr Dr Ste 402
Annandale, VA 22003-3310

National Provider Directory

National Provider Directory

Locations

4600 John Marr Dr
Ste 402
Annandale, VA 22003
Phone (703) 942-8858

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1003260860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 JOHN MARR DR STE 402",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 JOHN MARR DR STE 402",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033310",
            "telephone_number": "703-942-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEDAM WELL-BEING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "HOYOON",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "703-942-8858"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.