Individual provider Active NPI

Xiangdong Yu, PH.D.

  • Acupuncturist
  • Woodbury, MN
National Provider Identifier
1013144302
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Practice address
2042 Wooddale Dr Ste 140
Woodbury, MN 55125-4397
Phone
(651) 674-3790
Fax
(612) 808-5136
NPI assigned
Jun 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X MN Primary

Addresses

Primary practice location

2042 Wooddale Dr Ste 140
Woodbury, MN 55125-4397

Mailing address

2042 Wooddale Dr Ste 140
Woodbury, MN 55125-4397
Phone (651) 674-3790

Other practice location 1

10700 Hwy 55 Ste 185
Plymouth, MN 55441-6160
Phone (952) 955-7977

Other names 1

  • Sean Yu 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)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Jing River Acupucture Acupuncturist PastSince Mar 30, 2025 Accepting new patients
Access Group Physical Therapy, LLC PastSince Aug 15, 2021 Accepting new patients

Organizations & group practices 2

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": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1013144302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 WOODDALE DR STE 140",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254397",
            "telephone_number": "651-674-3790",
            "fax_number": "612-808-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 WOODDALE DR STE 140",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254397",
            "telephone_number": "651-674-3790",
            "fax_number": "612-808-5136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10700 Hwy 55 Ste 185",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554416160",
            "country_code": "US",
            "telephone_number": "952-955-7977",
            "fax_number": "612-808-5136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "XIANGDONG",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEAN",
            "last_name": "YU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

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