Active NPI
Xiaofan Wang, LIC. AC.
- Acupuncturist
- Mt Pleasant, MI
National Provider Identifier
1326215906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 548
- Practice address
- North Mission Health Care
416 N. Mission Street
Mt. Pleasant, MI 48858 - Phone
- (989) 773-3789
- NPI assigned
- May 13, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 548 | MA | Primary |
Addresses
Primary practice location
North Mission Health Care
416 N. Mission Street
Mt. Pleasant, MI 48858
Mailing address
24 Bradley Rd
#14
Utica, NY 13501-6619
Phone (989) 773-3789
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 |
|---|---|---|---|
| 548 | MA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1326215906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 BRADLEY RD",
"address_2": "#14",
"city": "UTICA",
"state": "NY",
"postal_code": "135016619",
"telephone_number": "989-773-3789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NORTH MISSION HEALTH CARE",
"address_2": "416 N. MISSION STREET",
"city": "MT. PLEASANT",
"state": "MI",
"postal_code": "48858",
"telephone_number": "989-773-3789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "XIAOFAN",
"credential": "LIC. AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-13",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MA",
"license": "548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.