Sangae Kim, CA

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

12976993-1201 Issued in UT

Practice address

75 E Fort Union Blvd Ste 150
Midvale, UT 84047-1531

Phone

(801) 900-7733

NPI assigned

Feb 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Shi Woo Acupuncture and Wellness

  • Acupuncturist
  • Midvale, UT
  • NPI 1932601028
  NPD Authorized official

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1225538655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 E FORT UNION BLVD STE 150",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471531",
            "telephone_number": "801-900-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E FORT UNION BLVD STE 150",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471531",
            "telephone_number": "801-900-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SANGAE",
        "credential": "CA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "UT",
            "license": "12976993-1201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keystone Chiropractic & Wellness, PLLC
• William Starkey Kidder, DDS
• Michael Kiley, PHARMD
• Lorraine S Kilpatrick, LCSW
• Lois Daheun Kim
• Sara Tempest Kimball, CSW
• Kinetic Health PLLC
• Constance King, PHYSICIAN ASSISTANT
• Leah Kirschbaum, RD
• Veronica Marie Kitchens

• Acupuncturist in Midvale, UT
• Providers in Midvale, UT by specialty
• Acupuncturist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.