Chun Yi Fan, MSTCM, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

5402000155 Issued in MI

Practice address

28455 Haggerty Rd Ste 200
Novi, MI 48377-2982

Phone

(248) 893-3200

Fax

(248) 893-2950

NPI assigned

May 27, 2010

Last updated

Jul 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rehabilitation Physicians PC

  • Physical Medicine & Rehabilitation Physician
  • Novi, MI
  • NPI 1891783916
  NPD (past)
• Chen Chiropractic Clinic Inc

  dba Summit Health Center

  • Chiropractor
  • City of Industry, CA
  • NPI 1619485158
  NPD (past)
• Paulson-Chen Medical Associates, PC

  • General Practice Physician
  • Diamond Bar, CA
  • NPI 1639582471
  NPD (past)
• R. Chen Chiropractic, Inc.

  dba Life Chiropractic

  • Physical Therapist
  • Diamond Bar, CA
  • NPI 1730463563
  NPD (past)

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1164741310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28455 HAGGERTY RD STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772982",
            "telephone_number": "248-893-3220",
            "fax_number": "248-893-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28455 HAGGERTY RD STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772982",
            "telephone_number": "248-893-3200",
            "fax_number": "248-893-2950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3477 E Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "MI",
            "postal_code": "488438552",
            "country_code": "US",
            "telephone_number": "248-893-3200",
            "fax_number": "248-893-2950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAN",
        "first_name": "CHUN YI",
        "credential": "MSTCM, L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-27",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MI",
            "license": "5402000155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathon Andrew Falvo, DDS
• Family Care Physicians, P.C.
• Family Dentistry of Novi
• Family Health and Medicine PC
• Family Podiatrists,P.C.
• Jasmine C Fanning
• Gina Faraci
• Abir Faraj, D.D.S.
• Kimberly Farless
• Samantha Rene Farmer

• Acupuncturist in Novi, MI
• Providers in Novi, MI by specialty
• Acupuncturist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.