Organization Active NPI

Dodam Acupuncture P.C

  • Acupuncturist
  • Brooklyn, NY
National Provider Identifier
1063906378
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005242 Issued in NY
Legal business name
DODAM ACUPUNCTURE P.C
Practice address
6215 20TH Ave FL 1
Brooklyn, NY 11204-3024
Phone
(917) 563-5820
NPI assigned
Jun 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Chang Joon Won, L.ACNPI 1922425131
Title
President/Practitioner
Phone
(917) 563-5820

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 005242 NY Primary

Addresses

Primary practice location

6215 20TH Ave FL 1
Brooklyn, NY 11204-3024

Mailing address

3622 Parsons Blvd Ste 1
Flushing, NY 11354-5932
Phone (917) 563-5820

National Provider Directory

National Provider Directory

Locations

6215 20th Ave
#1
Brooklyn, NY 11204
Phone (347) 713-3155

3622 Parsons Blvd
Ste 1
Flushing, NY 11354

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": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1063906378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 PARSONS BLVD STE 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545932",
            "telephone_number": "917-563-5820",
            "fax_number": "917-563-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 20TH AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043024",
            "telephone_number": "917-563-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODAM ACUPUNCTURE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "WON",
        "authorized_official_first_name": "CHANG JOON",
        "authorized_official_title_or_position": "PRESIDENT/PRACTITIONER",
        "authorized_official_telephone_number": "917-563-5820",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.