Individual provider Active NPI

Qingsong Xiao, PH.D, O M D, L.AC

  • Acupuncturist
  • Scottsdale, AZ
National Provider Identifier
1295820033
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0522 Issued in AZ
Practice address
3337 N Miller Rd
Ste103
Scottsdale, AZ 85251-6495
Phone
(480) 429-8881
Fax
(480) 429-8882
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0522 AZ Primary

Addresses

Primary practice location

3337 N Miller Rd
Ste103
Scottsdale, AZ 85251-6495

Mailing address

3337 N Miller Rd
Ste103
Scottsdale, AZ 85251-6495
Phone (480) 429-8881

Other identifiers 1

IdentifierTypeStateIssuer
0522OtherAZACUPUNCTURE

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
0522AZMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Wall Chinese Medicine, LLC. Acupuncturist Current Accepting new patients
Emed Clinic, LLC. Acupuncturist Current Accepting new patients

Locations

604 W Warner Rd
Ste B1
Chandler, AZ 85225
Phone (480) 429-8881

3225 N 75th St
Scottsdale, AZ 85251
Phone (480) 429-8881

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1295820033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3337 N MILLER RD",
            "address_2": "STE103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516495",
            "telephone_number": "480-429-8881",
            "fax_number": "480-429-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3337 N MILLER RD",
            "address_2": "STE103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516495",
            "telephone_number": "480-429-8881",
            "fax_number": "480-429-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIAO",
        "first_name": "QINGSONG",
        "name_prefix": "Dr.",
        "credential": "PH.D, O M D, L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "0522",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.