Organization Active NPI

Chen'S Acupuncture & Chinese Medicine Clinic, PS

  • Acupuncturist
  • Bellevue, WA
National Provider Identifier
1205045440
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00000536 Issued in WA
Legal business name
CHEN'S ACUPUNCTURE & CHINESE MEDICINE CLINIC, PS
Practice address
13400 NE 20TH St
Suite 28
Bellevue, WA 98005-2099
Phone
(425) 644-2056
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Peishan Chen
Title
Acupuncturist
Phone
(425) 644-2056

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC00000536 WA Primary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC00002513 WA
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC00002852 WA

Addresses

Primary practice location

13400 NE 20TH St
Suite 28
Bellevue, WA 98005-2099

Mailing address

13400 NE 20TH St
Suite 28
Bellevue, WA 98005-2099
Phone (425) 644-2056

National Provider Directory

National Provider Directory

Locations

13400 NE 20th St
Ste 28
Bellevue, WA 98005
Phone (425) 644-2056

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205045440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 NE 20TH ST",
            "address_2": "SUITE 28",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052099",
            "telephone_number": "425-644-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 NE 20TH ST",
            "address_2": "SUITE 28",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052099",
            "telephone_number": "425-644-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEN'S ACUPUNCTURE & CHINESE MEDICINE CLINIC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "PEISHAN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "425-644-2056"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000536",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002513",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.