Active NPI
Yedam Well-Being Center Inc
- Acupuncturist
- Annandale, VA
National Provider Identifier
1003260860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0121000632
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hoyoon Chong
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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 DirectoryLocations
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.
-
- Acupuncturist
- Niles, IL
- NPI 1336472752
-
- Acupuncturist
- Annandale, VA
- NPI 1679891287
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.