Individual provider Active NPI

Xudong Wang, L.AC

  • Acupuncturist
  • Washington, DC
National Provider Identifier
1275226383
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC2000028 Issued in DC
Practice address
2639 Connecticut Ave NW Ste C101
Washington, DC 20008-1537
Phone
(202) 681-1588
NPI assigned
Jun 2, 2023
Last updated
Jun 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC2000028 DC Primary

Addresses

Primary practice location

2639 Connecticut Ave NW Ste C101
Washington, DC 20008-1537

Mailing address

2639 Connecticut Ave NW Ste C101
Washington, DC 20008-1537
Phone (202) 681-1588

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
AC2000028DCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Integrative Wellness Acupuncturist CurrentSince Jul 1, 2024 Accepting new patients
Cherry Blossom Healing Arts Acupuncturist PastSince Jun 4, 2023 Accepting new patients

Locations

1485 Chain Bridge Rd
Ste 304C
Mc Lean, VA 22101
Phone (571) 658-7193

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1275226383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 CONNECTICUT AVE NW STE C101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081537",
            "telephone_number": "202-681-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 CONNECTICUT AVE NW STE C101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081537",
            "telephone_number": "202-681-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "XUDONG",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "DC",
            "license": "AC2000028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.