Organization Active NPI

Dong Shin Acupuncture

  • Acupuncturist
  • Duluth, GA
National Provider Identifier
1184190365
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
DONG SHIN ACUPUNCTURE
Practice address
4500 Satellite Blvd Ste 2370
Duluth, GA 30096-5067
Phone
(678) 858-9644
NPI assigned
Oct 16, 2018
Last updated
Oct 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Authorized official

Name
Dong Pyo Shin, L.ACNPI 1306154935
Title
Owner
Phone
(678) 858-9466

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

4500 Satellite Blvd Ste 2370
Duluth, GA 30096-5067

Mailing address

4500 Satellite Blvd Ste 2370
Duluth, GA 30096-5067
Phone (678) 858-9644

National Provider Directory

National Provider Directory

Locations

4500 Satellite Blvd
Ste 2370
Duluth, GA 30096
Phone (678) 858-9644

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": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1184190365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SATELLITE BLVD STE 2370",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965067",
            "telephone_number": "678-858-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SATELLITE BLVD STE 2370",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965067",
            "telephone_number": "678-858-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONG SHIN ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "DONG PYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-858-9466",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.