Individual provider Active NPI

Rong Wang, LAC. DOM.

  • Acupuncturist
  • Houston, TX
National Provider Identifier
1013079136
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00583 Issued in TX
Practice address
6430 Richmond Ave Ste 325
Houston, TX 77057-5993
Phone
(281) 293-9998
Fax
(877) 795-9098
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC00583 TX Primary

Addresses

Primary practice location

6430 Richmond Ave Ste 325
Houston, TX 77057-5993

Mailing address

PO Box 204
Sugar Land, TX 77487-0204
Phone (281) 293-9998

Other practice location 1

14760 Memorial Dr Ste 111
Houston, TX 77079-5272
Phone (281) 293-9998

Other identifiers 1

IdentifierTypeStateIssuer
1013079136OtherACUPUNCTURE

Other names 1

  • None None Other name

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
AC00583TXMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosy Acupuncture & Herb Tea Acupuncturist CurrentSince Feb 1, 2022 Accepting new patients

Locations

6430 Richmond Ave
Ste 325
Houston, TX 77057
Phone (281) 293-9998

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1013079136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774870204",
            "telephone_number": "281-293-9998",
            "fax_number": "877-795-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 RICHMOND AVE STE 325",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575993",
            "telephone_number": "281-293-9998",
            "fax_number": "877-795-9098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14760 Memorial Dr Ste 111",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770795272",
            "country_code": "US",
            "telephone_number": "281-293-9998",
            "fax_number": "713-490-3198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "RONG",
        "name_prefix": "Mrs.",
        "credential": "LAC. DOM.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "1013079136",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NONE",
            "last_name": "NONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.