Individual provider Active NPI

Teng Fang Wu, MACOM

  • Acupuncturist
  • Tucson, AZ
National Provider Identifier
1033392675
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0448 Issued in AZ
Practice address
5501 N Oracle Rd
Suite 145
Tucson, AZ 85704-3829
Phone
(520) 889-9366
Fax
(480) 357-4639
NPI assigned
Dec 5, 2007
Last updated
Dec 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0448 AZ Primary

Addresses

Primary practice location

5501 N Oracle Rd
Suite 145
Tucson, AZ 85704-3829

Mailing address

9221 E Baseline Rd
Suite A109-617
Mesa, AZ 85209-8310
Phone (480) 357-3904

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
0448AZMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Bio-Tech Inc Acupuncturist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1033392675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 E BASELINE RD",
            "address_2": "SUITE A109-617",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852098310",
            "telephone_number": "480-357-3904",
            "fax_number": "480-357-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N ORACLE RD",
            "address_2": "SUITE 145",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043829",
            "telephone_number": "520-889-9366",
            "fax_number": "480-357-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "TENG FANG",
        "credential": "MACOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.