Active NPI
Sophia Kim, L.AC, M.A.O.M
- Acupuncturist
- Houston, TX
National Provider Identifier
1225429293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC01512
- Practice address
- 11231 Richmond Ave
Suite D 110
Houston, TX 77082-6656 - Phone
- (832) 290-3165
- NPI assigned
- Feb 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC01512 | TX | Primary |
Addresses
Primary practice location
11231 Richmond Ave
Suite D 110
Houston, TX 77082-6656
Mailing address
7611 Quail Meadow Dr
Houston, TX 77071-2315
Phone (832) 290-3165
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC01512 | TX | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423699200000",
"number": "1225429293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7611 QUAIL MEADOW DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770712315",
"telephone_number": "832-290-3165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11231 RICHMOND AVE",
"address_2": "SUITE D 110",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770826656",
"telephone_number": "832-290-3165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SOPHIA",
"credential": "L.AC, M.A.O.M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-12",
"last_updated": "2015-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TX",
"license": "AC01512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.