Organization Active NPI

Si Shou Acupuncture and Wellness, PLLC

  • Acupuncturist
  • Austin, TX
National Provider Identifier
1255959748
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SI SHOU ACUPUNCTURE AND WELLNESS, PLLC
Practice address
5424 W US Hwy 290 Service Rd
Ste #106
Austin, TX 78735
Phone
(512) 387-4002
Fax
(833) 473-3956
NPI assigned
Jul 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Authorized official

Name
Stefanie Dwyer, LACNPI 1679013593
Title
Owner
Phone
(512) 387-4002

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

5424 W US Hwy 290 Service Rd
Ste #106
Austin, TX 78735

Mailing address

5424 W US Hwy 290 Service Rd
Ste #106
Austin, TX 78735
Phone (512) 387-4002

National Provider Directory

National Provider Directory

Locations

5424 W Highway 290
Ste 106
Austin, TX 78735
Phone (512) 387-4002

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1255959748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 W US HWY 290 SERVICE RD",
            "address_2": "STE #106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78735",
            "telephone_number": "512-387-4002",
            "fax_number": "833-473-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 W US HWY 290 SERVICE RD",
            "address_2": "STE #106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78735",
            "telephone_number": "512-387-4002",
            "fax_number": "833-473-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SI SHOU ACUPUNCTURE AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-387-4002",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.