Mountlake Acupuncture Corp.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MOUNTLAKE ACUPUNCTURE CORP.

Practice address

1008 Central Ave N
Kent, WA 98032-3053

Phone

(206) 434-5929

NPI assigned

Dec 9, 2019

Organization subpart

No

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

Authorized official

Name

Jingyang NA, LACNPI 1902944481

Title

Owner

Phone

(206) 434-5929

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jingyang NA, LAC

  • Acupuncturist
  • Kent, WA
  • NPI 1902944481
  NPD Authorized official

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1174160147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 CENTRAL AVE N",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980323053",
            "telephone_number": "206-434-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 CENTRAL AVE N",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980323053",
            "telephone_number": "206-434-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTLAKE ACUPUNCTURE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "NA",
        "authorized_official_first_name": "JINGYANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-434-5929",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Moseley
• Ellen Mosier, MA
• Leah Lynn Mosier
• Ludmila Moskvich
• Fernice Motaroki
• Lynda Mae Mowilos, LMP
• Jeffrey Paul Mowry, RPH
• Michelle B Moye
• Jesse Muao
• Francis Mubwaro

• Medical Specialty Clinic/Center in Kent, WA
• Providers in Kent, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.