Individual provider Active NPI

Siriporn Jenjai Jang, L.AC., D.AC.

  • Acupuncturist
  • Honolulu, HI
National Provider Identifier
1023894383
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU-1422 Issued in HI
Practice address
1600 Kapiolani Blvd Ste 601
Honolulu, HI 96814-3897
Phone
(808) 947-7582
Fax
(808) 947-7583
NPI assigned
Sep 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU-1422 HI Primary
Massage Therapist 225700000X MAT-16094 HI

Addresses

Primary practice location

1600 Kapiolani Blvd Ste 601
Honolulu, HI 96814-3897

Mailing address

1600 Kapiolani Blvd Ste 601
Honolulu, HI 96814-3897
Phone (808) 947-7582

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
ACU-1422HIMDAcupuncturist
MAT-16094HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jang Acupuncture Clinic, LLC Acupuncturist Current Accepting new patients

Locations

1600 Kapiolani Blvd
Ste 601
Honolulu, HI 96814
Phone (808) 944-5000

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": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1023894383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD STE 601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143897",
            "telephone_number": "808-947-7582",
            "fax_number": "808-947-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD STE 601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143897",
            "telephone_number": "808-947-7582",
            "fax_number": "808-947-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "SIRIPORN",
        "middle_name": "JENJAI",
        "name_prefix": "Dr.",
        "credential": "L.AC., D.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "ACU-1422",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-16094",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; 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.