Miracle Island PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60696857 Issued in WA

Legal business name

MIRACLE ISLAND PLLC

Doing business as

Taiji acupuncture wellness center

Practice address

7605 SE 27TH St Ste 103
Mercer Island, WA 98040-2852

Phone

(206) 519-9039

NPI assigned

Nov 29, 2017

Organization subpart

No

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

Authorized official

Name

Haiming Shi

Title

Ceo

Phone

(206) 519-9039

Specialties & licenses 2

Addresses

Other names 1

• Taiji acupuncture wellness center Doing business as

Locations

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602374400000",
    "number": "1114431079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 SE 27TH ST STE 103",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402852",
            "telephone_number": "206-519-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 SE 27TH ST STE 103",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402852",
            "telephone_number": "206-519-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE ISLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2020-10-11",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "SHI",
        "authorized_official_first_name": "HAIMING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-519-9039"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60696857",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60654589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taiji acupuncture wellness center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercer Island School District
• Mercer Island Therapy, PLLC
• Nadeem Merchant, DMD
• Mike Gile DDS PLLC
• Karin L. Miller, MSW, LICSW
• Neeti Mittal, MD
• Michelle Emily Modad
• Rachel Morin, DPT
• Dorthe H Mullins, RDH
• Nadeem Merchant DMD, PS

• Acupuncturist in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; 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.