Active NPI
David Wong, ACUPUNCTURIST
- Acupuncturist
- Wichita Falls, TX
National Provider Identifier
1164618336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00117
- Practice address
- 4722 Taft Blvd
Suite 3
Wichita Falls, TX 76308-4800 - Phone
- (940) 692-5666
- Fax
- (940) 767-3578
- NPI assigned
- Sep 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 | AC00117 | TX | Primary |
Addresses
Primary practice location
4722 Taft Blvd
Suite 3
Wichita Falls, TX 76308-4800
Mailing address
4722 Taft Blvd
Suite 3
Wichita Falls, TX 76308-4800
Phone (940) 692-5666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8M8426 | Other | TX | BLUE CROSS BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC00117 | TX | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health & Medical Center | Acupuncturist | Past | Accepting new patients |
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.
-
- Acupuncturist
- Wichita Falls, TX
- NPI 1619028180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1164618336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4722 TAFT BLVD",
"address_2": "SUITE 3",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763084800",
"telephone_number": "940-692-5666",
"fax_number": "940-767-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4722 TAFT BLVD",
"address_2": "SUITE 3",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763084800",
"telephone_number": "940-692-5666",
"fax_number": "940-767-3578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "DAVID",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-20",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TX",
"license": "AC00117",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8M8426",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.