Organization Active NPI

Grace Acupuncture LLC

Doing business as Grace Acupuncture

  • Acupuncturist
  • Ambler, PA
National Provider Identifier
1336826783
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
GRACE ACUPUNCTURE LLC
Doing business as
Grace Acupuncture
Practice address
930 Susquehanna Rd
Ambler, PA 19002-3760
Phone
(267) 957-4073
NPI assigned
Jun 28, 2023
Last updated
Jun 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Goeun Kim, L.A.CNPI 1790144517
Title
Owner
Phone
(267) 957-4073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

930 Susquehanna Rd
Ambler, PA 19002-3760

Mailing address

930 Susquehanna Rd
Ambler, PA 19002-3760
Phone (267) 957-4073

Other identifiers 1

IdentifierTypeStateIssuer
1790144517MedicaidPA

Other names 1

  • Grace Acupuncture Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1336826783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SUSQUEHANNA RD",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023760",
            "telephone_number": "267-957-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SUSQUEHANNA RD",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023760",
            "telephone_number": "267-957-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GOEUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-957-4073",
        "authorized_official_credential": "L.A.C"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790144517",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ambler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.