Individual provider Active NPI

Xiaohong Tan

  • Acupuncturist
  • Lansing, MI
National Provider Identifier
1316632060
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5402000166 Issued in MI
Practice address
2720 Pleasant Grove Rd
Lansing, MI 48910-2410
Phone
(517) 575-9614
NPI assigned
Apr 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 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 5402000166 MI Primary

Addresses

Primary practice location

2720 Pleasant Grove Rd
Lansing, MI 48910-2410

Mailing address

2720 Pleasant Grove Rd
Lansing, MI 48910-2410
Phone (517) 575-9614

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
5402000166MIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Internal Medicine PLLC CurrentSince Mar 3, 2024 Accepting new patients

Locations

2720 Pleasant Grove Rd
Lansing, MI 48910
Phone (517) 575-9614

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIHDCD

Organizations & group practices 1

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": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1316632060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 PLEASANT GROVE RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489102410",
            "telephone_number": "517-575-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 PLEASANT GROVE RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489102410",
            "telephone_number": "517-575-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "XIAOHONG",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MI",
            "license": "5402000166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.