Huan-Wen Fang, LIC. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

220800 Issued in MA

Practice address

411 Mass Ave Ste 304
Acton, MA 01720-3739

Phone

(508) 366-5773

Fax

(508) 366-6523

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Yin Han Tang LLC

  • Acupuncturist
  • Acton, MA
  • NPI 1245796457
  NPD (past) Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1154538965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MASS AVE STE 304",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203739",
            "telephone_number": "978-429-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MASS AVE STE 304",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203739",
            "telephone_number": "508-366-5773",
            "fax_number": "508-366-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANG",
        "first_name": "HUAN-WEN",
        "credential": "LIC. AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "220800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAC",
            "identifier": "1154538965",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Ciccone Escott
• Abigail Estabrook, PT, DPT
• Ets
• Scott Evans, DPT
• Family Resources Incorporated
• Paulette Aubert Farmer, P.T.
• Jonathan Farr, LMHC
• John M Fava, PT
• Elayne B Feinsod, M.D.
• Allison Fenniman

• Acupuncturist in Acton, MA
• Providers in Acton, MA by specialty
• Acupuncturist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.