A&C Clinical Manipulation, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

A&C CLINICAL MANIPULATION, LLC

Practice address

1033 Sterling Rd Ste 105
Herndon, VA 20170-3837

Phone

(703) 855-3514

NPI assigned

Aug 31, 2021

Organization subpart

No

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

Authorized official

Name

Kiyoshi Yamamoto, LAC., LMTNPI 1730482159

Title

Acupuncturist / Owner

Phone

(703) 855-3514

Specialties & licenses 2

Addresses

Locations

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

• Kiyoshi Yamamoto, LAC., LMT

  • Acupuncturist
  • Herndon, VA
  • NPI 1730482159
  NPD Authorized official

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1275201774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 CASTLE HARBOR WAY",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201204140",
            "telephone_number": "703-855-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 STERLING RD STE 105",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703837",
            "telephone_number": "703-855-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&C CLINICAL MANIPULATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "YAMAMOTO",
        "authorized_official_first_name": "KIYOSHI",
        "authorized_official_title_or_position": "ACUPUNCTURIST / OWNER",
        "authorized_official_telephone_number": "703-855-3514",
        "authorized_official_credential": "LAC., LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Herndon, VA
• Acupuncturist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.