Active NPI
Xiangdong Yu, PH.D.
- Acupuncturist
- Woodbury, MN
National Provider Identifier
1013144302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jing River Acupucture | Acupuncturist | Past | Accepting new patients |
| Access Group Physical Therapy, LLC | Past | 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.
-
- Physical Medicine & Rehabilitation Physician
- Little Canada, MN
- NPI 1891200655
-
- Acupuncturist
- Plymouth, MN
- NPI 1386447928
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.