NPIMap

Organization Active NPI

Aom Clinic LLC

  • Acupuncturist
  • Annandale, VA
National Provider Identifier
1164060026
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
AOM CLINIC LLC
Practice address
7535 Little River Tpke Ste 103a
Annandale, VA 22003-2983
Phone
(571) 287-1764
Fax
(888) 276-6354
NPI assigned
Dec 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Dr. Tae Y Rim, DAOM, L.AC.
Title
President and Clinic Director
Phone
(571) 287-1764

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

7535 Little River Tpke Ste 103a
Annandale, VA 22003-2983

Mailing address

7535 Little River Tpke Ste 103a
Annandale, VA 22003-2983
Phone (571) 287-1764

Other identifiers 4

IdentifierTypeStateIssuer
19009773OtherVASTATE MASSAGE LICENSE
AC500174OtherDCSTATE ACUPUNCTURE LICENSE
0121000474OtherVASTATE ACUPUNCTURE LICENSE
0121000929OtherVASTATE ACUPUNCTURE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aom@aomclinic.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1164060026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7535 LITTLE RIVER TPKE STE 103A",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032983",
            "telephone_number": "571-287-1764",
            "fax_number": "888-276-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 LITTLE RIVER TPKE STE 103A",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032983",
            "telephone_number": "571-287-1764",
            "fax_number": "888-276-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AOM CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "RIM",
        "authorized_official_first_name": "TAE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT AND CLINIC DIRECTOR",
        "authorized_official_telephone_number": "571-287-1764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAOM, L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MASSAGE LICENSE",
            "identifier": "19009773",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ACUPUNCTURE LICENSE",
            "identifier": "AC500174",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ACUPUNCTURE LICENSE",
            "identifier": "0121000474",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ACUPUNCTURE LICENSE",
            "identifier": "0121000929",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aom@aomclinic.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7535 Little River Tpke Ste 103A",
            "city": "Annandale",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220032983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

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