Individual provider Active NPI

Mian Long, L. AC

  • Acupuncturist
  • Honolulu, HI
National Provider Identifier
1255484622
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU 722 Issued in HI
Practice address
651 Ilalo St
Suite 101
Honolulu, HI 96813-5525
Phone
(808) 692-0908
Fax
(808) 692-1958
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU 722 HI Primary
Acupuncturist 171100000X 1049 NY

Addresses

Primary practice location

651 Ilalo St
Suite 101
Honolulu, HI 96813-5525

Mailing address

2169 Mott-Smith Dr
Honolulu, HI 96822-2564
Phone (808) 599-1870

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
ACU 722HIMDAcupuncturist
1049NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1255484622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 MOTT-SMITH DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222564",
            "telephone_number": "808-599-1870",
            "fax_number": "402-817-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 ILALO ST",
            "address_2": "SUITE 101",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135525",
            "telephone_number": "808-692-0908",
            "fax_number": "808-692-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MIAN",
        "name_prefix": "Dr.",
        "credential": "L. AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "ACU 722",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "1049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.