Organization Active NPI

Acupuncture & Herbs Clinic

  • Rehabilitation Hospital Unit
  • Annandale, VA
National Provider Identifier
1164835807
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
AC500174 Issued in DC
Legal business name
ACUPUNCTURE & HERBS CLINIC
Practice address
7535 Little River Tpke Ste 103a
Annandale, VA 22003-2983
Phone
(571) 287-1764
NPI assigned
Jun 10, 2014
Last updated
Jun 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Mr. Thuong Phu, L.AC.NPI 1881001071
Title
Acupuncturist
Phone
(703) 989-9711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X AC500174 DC Primary

Addresses

Primary practice location

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

Mailing address

5730 Backlick Rd Apt 202
Springfield, VA 22150-3256
Phone (703) 989-9711

Other identifiers 1

IdentifierTypeStateIssuer
1611 WDC 20010OtherWDC

National Provider Directory

National Provider Directory
Tax ID family
Acupuncture Herbs Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1164835807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 BACKLICK RD APT 202",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503256",
            "telephone_number": "703-989-9711"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE & HERBS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "PHU",
        "authorized_official_first_name": "THUONG",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "703-989-9711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "DC",
            "license": "AC500174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WDC",
            "identifier": "1611 WDC 20010",
            "state": null
        }
    ],
    "endpoints": [],
    "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 Jun 10, 2014; 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.