NPIMap

Organization Active NPI

Cherry Blossom Acupuncture Clinic, PLLC

  • Acupuncturist
  • Phoenix, AZ
National Provider Identifier
1053785881
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1006 Issued in AZ
Legal business name
CHERRY BLOSSOM ACUPUNCTURE CLINIC, PLLC
Practice address
4732 N 29TH Ave
Phoenix, AZ 85017-3538
Phone
(480) 521-8731
NPI assigned
Nov 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Dao Huynh, LAC.NPI 1881066827
Title
Owner
Phone
(480) 521-8731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 1006 AZ Primary

Addresses

Primary practice location

4732 N 29TH Ave
Phoenix, AZ 85017-3538

Mailing address

4732 N 29TH Ave
Phoenix, AZ 85017-3538
Phone (480) 521-8731

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1053785881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4732 N 29TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850173538",
            "telephone_number": "480-521-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4732 N 29TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850173538",
            "telephone_number": "480-521-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY BLOSSOM ACUPUNCTURE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "DAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-521-8731",
        "authorized_official_credential": "LAC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "1006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.