Individual provider Active NPI

Eugene Yijun Zhang, PH.D, L.AC.

  • Acupuncturist
  • Fairfax, VA
National Provider Identifier
1265561690
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121 000105 Issued in VA
Practice address
10329 Democracy LN Ste B
Fairfax, VA 22030-2559
Phone
(703) 218-4178
Fax
(703) 218-4179
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 0121 000105 VA Primary
Acupuncturist 171100000X U00478 MD

Addresses

Primary practice location

10329 Democracy LN Ste B
Fairfax, VA 22030-2559

Mailing address

10329 Democracy LN Ste B
Fairfax, VA 22030-2559
Phone (703) 218-4178

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
U00478MDMDAcupuncturist
0121 000105VAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265561690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10329 DEMOCRACY LN STE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302559",
            "telephone_number": "703-218-4178",
            "fax_number": "703-218-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10329 DEMOCRACY LN STE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302559",
            "telephone_number": "703-218-4178",
            "fax_number": "703-218-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "EUGENE",
        "middle_name": "YIJUN",
        "name_prefix": "Mr.",
        "credential": "PH.D, L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121 000105",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U00478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.