Brightacupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0033641 Issued in NJ

Legal business name

BRIGHTACUPUNCTURE

Practice address

296 N Main St
Spring Valley, NY 10977-3736

Phone

(917) 582-6187

NPI assigned

Mar 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Misuk Kim, L.AC

Title

Doctor

Phone

(917) 582-6187

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1316288327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 N MAIN ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773736",
            "telephone_number": "917-582-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 N MAIN ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773736",
            "telephone_number": "917-582-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MISUK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "917-582-6187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "0033641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.