Organization Active NPI

Ancient Acupuncture and Chinese Herbs

  • Acupuncturist
  • Fairport, NY
National Provider Identifier
1174255681
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ANCIENT ACUPUNCTURE AND CHINESE HERBS
Practice address
6605 Pittsford Palmyra Rd Ofc Parke-2
Fairport, NY 14450-3407
Phone
(585) 223-7880
NPI assigned
Jun 24, 2022
Last updated
Jun 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Jin Fang, NYS LACNPI 1295835718
Title
Acupuncfturist
Phone
(585) 223-7880

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
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

6605 Pittsford Palmyra Rd Ofc Parke-2
Fairport, NY 14450-3407

Mailing address

6605 Pittsford Palmyra Rd Ofc Parke-2
Fairport, NY 14450-3407
Phone (585) 223-7880

National Provider Directory

National Provider Directory

Locations

6605 Pittsford Palmyra Rd
Ofc
Fairport, NY 14450
Phone (585) 223-7880

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": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1174255681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 PITTSFORD PALMYRA RD OFC PARKE-2",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503407",
            "telephone_number": "585-223-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 PITTSFORD PALMYRA RD OFC PARKE-2",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503407",
            "telephone_number": "585-223-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCIENT ACUPUNCTURE AND CHINESE HERBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "JIN",
        "authorized_official_title_or_position": "ACUPUNCFTURIST",
        "authorized_official_telephone_number": "585-223-7880",
        "authorized_official_credential": "NYS LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.