Individual provider Active NPI

Peichen Yen, L.AC., DIPL. OM

  • Acupuncturist
  • Chantilly, VA
National Provider Identifier
1184707515
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121-000742 Issued in VA
Practice address
14106 Robert Paris CT
Chantilly, VA 20151-4205
Phone
(703) 595-2199
Fax
(703) 595-2198
NPI assigned
Oct 21, 2006
Last updated
Dec 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0121-000742 VA Primary

Addresses

Primary practice location

14106 Robert Paris CT
Chantilly, VA 20151-4205

Mailing address

14106 Robert Paris CT
Chantilly, VA 20151-4205
Phone (703) 595-2199

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
0121-000742VAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1184707515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14106 ROBERT PARIS CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514205",
            "telephone_number": "703-595-2199",
            "fax_number": "703-595-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14106 ROBERT PARIS CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514205",
            "telephone_number": "703-595-2199",
            "fax_number": "703-595-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEN",
        "first_name": "PEICHEN",
        "credential": "L.AC., DIPL. OM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121-000742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.