Active NPI
Jianhua Jin, LAC, PH.D.
- Acupuncturist
- Lafayette, IN
National Provider Identifier
1164547766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 84000029A
- Practice address
- 40 Professional CT
Lafayette, IN 47905-5152 - Phone
- (765) 447-2222
- Fax
- (765) 447-7051
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 84000029A | IN | Primary |
Addresses
Primary practice location
40 Professional CT
Lafayette, IN 47905-5152
Mailing address
40 Professional CT
Lafayette, IN 47905-5152
Phone (765) 447-2222
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84000029A | IN | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacelli Chiropractic Health Potential Complex Inc | Acupuncturist | Current | Accepting new patients |
Locations
40 Professional Ct
Lafayette, IN 47905
Phone (765) 447-2222
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.
-
- Chiropractor
- Lafayette, IN
- NPI 1255532800
Acupuncturist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1164547766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 PROFESSIONAL CT",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055152",
"telephone_number": "765-447-2222",
"fax_number": "765-447-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 PROFESSIONAL CT",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055152",
"telephone_number": "765-447-2222",
"fax_number": "765-447-7051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIN",
"first_name": "JIANHUA",
"name_prefix": "Dr.",
"credential": "LAC, PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IN",
"license": "84000029A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.