Active NPI
Mian Long, L. AC
- Acupuncturist
- Honolulu, HI
National Provider Identifier
1255484622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACU 722
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ACU 722 | HI | MD | Acupuncturist |
| 1049 | NY | MD | Acupuncturist |
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.