Active NPI
Dodam Acupuncture P.C
- Acupuncturist
- Brooklyn, NY
National Provider Identifier
1063906378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 005242
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chang Joon Won, L.AC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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 DirectoryLocations
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.
-
- Acupuncturist
- Flushing, NY
- NPI 1922425131
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.