Active NPI
Dong Kyu Jang, L. AC
- Acupuncturist
- Irving, TX
National Provider Identifier
1033308432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 01085
- Practice address
- 8350 N Macarthur Blvd
Suite 177
Irving, TX 75063-4318 - Phone
- (972) 444-0660
- Fax
- (972) 444-0660
- NPI assigned
- Oct 22, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 11058 | CA | |
| Acupuncturist | 171100000X | 01085 | TX | Primary |
Addresses
Primary practice location
8350 N Macarthur Blvd
Suite 177
Irving, TX 75063-4318
Mailing address
8350 N Macarthur Blvd
Suite 177
Irving, TX 75063-4318
Phone (972) 444-0660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01085 | Other | TX | ACUPUNCTURE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC 11058 | CA | MD | Acupuncturist |
| 01085 | TX | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NA Noom Acupuncture Clinics | Past | Accepting new patients |
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.
-
- Clinic/Center
- Irving, TX
- NPI 1093040842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255046400000",
"number": "1033308432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8350 N MACARTHUR BLVD",
"address_2": "SUITE 177",
"city": "IRVING",
"state": "TX",
"postal_code": "750634318",
"telephone_number": "972-444-0660",
"fax_number": "972-444-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8350 N MACARTHUR BLVD",
"address_2": "SUITE 177",
"city": "IRVING",
"state": "TX",
"postal_code": "750634318",
"telephone_number": "972-444-0660",
"fax_number": "972-444-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANG",
"first_name": "DONG KYU",
"credential": "L. AC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-22",
"last_updated": "2009-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 11058",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TX",
"license": "01085",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE LICENSE",
"identifier": "01085",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.