Individual provider Active NPI

Timothy Trung Nguyen, LAC., DIPL. OM

  • Acupuncturist
  • Honolulu, HI
National Provider Identifier
1114109071
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU1213 Issued in HI
Practice address
1150 S King St Ste 302
Honolulu, HI 96814-1951
Phone
(808) 319-7791
Fax
(808) 200-0567
NPI assigned
Dec 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC11658 CA
Acupuncturist 171100000X ACU1213 HI Primary

Addresses

Primary practice location

1150 S King St Ste 302
Honolulu, HI 96814-1951

Mailing address

600 Ala Moana Blvd Apt 2502
Honolulu, HI 96813-4959
Phone (808) 319-7791

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
AC11658CAMDAcupuncturist
ACU1213HIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Integrative Healthcare LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1114109071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ALA MOANA BLVD APT 2502",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134959",
            "telephone_number": "808-319-7791",
            "fax_number": "808-200-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S KING ST STE 302",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141951",
            "telephone_number": "808-319-7791",
            "fax_number": "808-200-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TIMOTHY",
        "middle_name": "TRUNG",
        "name_prefix": "Mr.",
        "credential": "LAC., DIPL. OM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11658",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "ACU1213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.