Individual provider Active NPI

Tong Peng

  • Acupuncturist
  • Kissimmee, FL
National Provider Identifier
1124260740
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 2383 Issued in FL
Practice address
2611 W Vine St Ste 101
Kissimmee, FL 34741-3972
Phone
(407) 781-6088
Fax
(407) 910-4773
NPI assigned
Mar 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC01136 TX
Acupuncturist 171100000X AP 2383 FL Primary

Addresses

Primary practice location

2611 W Vine St Ste 101
Kissimmee, FL 34741-3972

Mailing address

2611 W Vine St Ste 101
Kissimmee, FL 34741-3972
Phone (407) 781-6088

Other practice location 1

417 Gaston Foster Rd
Orlando, FL 32807-1209
Phone (407) 781-6088

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
AP 2383FLMDAcupuncturist
AC01136TXMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124260740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 W VINE ST STE 101",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347413972",
            "telephone_number": "407-781-6088",
            "fax_number": "407-910-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 W VINE ST STE 101",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347413972",
            "telephone_number": "407-781-6088",
            "fax_number": "407-910-4773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 Gaston Foster Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328071209",
            "country_code": "US",
            "telephone_number": "407-781-6088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENG",
        "first_name": "TONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01136",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 2383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.