Active NPI
Yvonne Chan, LAC
- Acupuncturist
- Greenwich, CT
National Provider Identifier
1174778351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 000067
- Practice address
- 28 Railroad Ave
Room #206
Greenwich, CT 06830-6301 - Phone
- (203) 629-3800
- NPI assigned
- Dec 1, 2008
- Last updated
- Dec 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 000067 | CT | Primary |
Addresses
Primary practice location
28 Railroad Ave
Room #206
Greenwich, CT 06830-6301
Mailing address
28 Railroad Ave
Room #206
Greenwich, CT 06830-6301
Phone (203) 629-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000067 | CT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1174778351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 RAILROAD AVE",
"address_2": "ROOM #206",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068306301",
"telephone_number": "203-629-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 RAILROAD AVE",
"address_2": "ROOM #206",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068306301",
"telephone_number": "203-629-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "YVONNE",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-01",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CT",
"license": "000067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.