Individual provider Active NPI

Yunsuk Choi

  • Acupuncturist
  • Centreville, VA
National Provider Identifier
1184238230
Registry record updated Sep 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
814392 Issued in MD
Practice address
14192 Autumn Cir
Centreville, VA 20121-3851
Phone
(678) 469-0943
NPI assigned
Sep 5, 2020
Last updated
Sep 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 814392 MD Primary

Addresses

Primary practice location

14192 Autumn Cir
Centreville, VA 20121-3851

Mailing address

14192 Autumn Cir
Centreville, VA 20121-3851
Phone (678) 469-0943

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

LicenseStateTypeSpecialty
814392MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Gate Acupuncture LLC Acupuncturist CurrentSince May 8, 2022 Accepting new patients

Locations

1800 Michael Faraday Dr
Ste 201
Reston, VA 20190
Phone 41076090790

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599264000000",
    "number": "1184238230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14192 AUTUMN CIR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201213851",
            "telephone_number": "678-469-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14192 AUTUMN CIR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201213851",
            "telephone_number": "678-469-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "YUNSUK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-05",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "814392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; 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.