Organization Active NPI

Formosa Acupuncture & Herbs Corp

  • Clinic/Center
  • Bellevue, WA
National Provider Identifier
1205455060
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FORMOSA ACUPUNCTURE & HERBS CORP
Practice address
13555 Bel-Red Rd
Suite 110
Bellevue, WA 98005
Phone
(425) 362-6159
NPI assigned
Apr 13, 2020
Last updated
Jun 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Wen-Fang KuNPI 1649899410
Title
Owner, Practioner
Phone
(206) 214-8387

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

13555 Bel-Red Rd
Suite 110
Bellevue, WA 98005

Mailing address

13555 Bel-Red Rd
Suite 110
Bellevue, WA 98005

National Provider Directory

National Provider Directory

Locations

13555 NE Bel Red Rd
Ste 110
Bellevue, WA 98005
Phone (425) 362-6159

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": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1205455060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 BEL-RED RD",
            "address_2": "SUITE 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 BEL-RED RD",
            "address_2": "SUITE 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005",
            "telephone_number": "425-362-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORMOSA ACUPUNCTURE & HERBS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2023-06-05",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "KU",
        "authorized_official_first_name": "WEN-FANG",
        "authorized_official_title_or_position": "OWNER, PRACTIONER",
        "authorized_official_telephone_number": "206-214-8387"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 5, 2023; 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.