Active NPI
Shennong Oriental Healing Center
- Acupuncturist
- Philadelphia, PA
National Provider Identifier
1174715676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AK000279L
- Legal business name
- SHENNONG ORIENTAL HEALING CENTER
- Doing business as
- ShenNong Acupuncture & Oriental Medicine
- Practice address
- 926 Arch St
1St Floor
Philadelphia, PA 19107-3107 - Phone
- (215) 627-2220
- NPI assigned
- Aug 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ding Gu, L.AC.
- Title
- Co-Owner
- Phone
- (215) 627-2220
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AK000279L | PA | Primary |
| Acupuncturist | 171100000X | AK000433L | PA | |
| Acupuncturist | 171100000X | AK000696 | PA |
Addresses
Primary practice location
926 Arch St
1St Floor
Philadelphia, PA 19107-3107
Mailing address
926 Arch St
1St Floor
Philadelphia, PA 19107-3107
Phone (215) 627-2220
Other names 1
- ShenNong Acupuncture & Oriental Medicine
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187308800000",
"number": "1174715676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 ARCH ST",
"address_2": "1ST FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191073107",
"telephone_number": "215-627-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 ARCH ST",
"address_2": "1ST FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191073107",
"telephone_number": "215-627-2220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHENNONG ORIENTAL HEALING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-17",
"last_updated": "2007-08-17",
"status": "A",
"authorized_official_last_name": "GU",
"authorized_official_first_name": "DING",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "215-627-2220",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "L.AC."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "PA",
"license": "AK000279L",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "PA",
"license": "AK000433L",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "PA",
"license": "AK000696",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ShenNong Acupuncture & Oriental Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.