Active NPI
Yijin Qiu, L.AC, DTCM
- Acupuncturist
- Raleigh, NC
National Provider Identifier
1316082829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 90
- Practice address
- 8354 Six Forks Rd
Suite 104
Raleigh, NC 27615-3053 - Phone
- (919) 649-4976
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 90 | NC | Primary |
Addresses
Primary practice location
8354 Six Forks Rd
Suite 104
Raleigh, NC 27615-3053
Mailing address
5305 Eagles Landing Dr
Raleigh, NC 27616-6155
Phone (919) 649-4976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11617710 | Other | CAQH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 90 | NC | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316082829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5305 EAGLES LANDING DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276166155",
"telephone_number": "919-649-4976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8354 SIX FORKS RD",
"address_2": "SUITE 104",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153053",
"telephone_number": "919-649-4976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QIU",
"first_name": "YIJIN",
"credential": "L.AC, DTCM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NC",
"license": "90",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11617710",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
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.