Active NPI
Jimmy I-Ching Yen, L. AC.
- Acupuncturist
- Cedar Park, TX
National Provider Identifier
1366595159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 755
- Practice address
- 715 Discovery Blvd
Suite 112
Cedar Park, TX 78613-2287 - Phone
- (512) 260-1710
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 755 | TX | Primary |
| Nurse's Aide | 376K00000X | NA08423785 | TX |
Addresses
Primary practice location
715 Discovery Blvd
Suite 112
Cedar Park, TX 78613-2287
Mailing address
715 Discovery Blvd
Suite 112
Cedar Park, TX 78613-2287
Phone (512) 260-1710
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 |
|---|---|---|---|
| 755 | TX | MD | Acupuncturist |
| NA08423785 | TX | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yen Acupuncture & Herbal Clinic, Inc. | Acupuncturist | Past | Accepting new patients |
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.
-
- Acupuncturist
- Cedar Park, TX
- NPI 1407018971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1366595159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 DISCOVERY BLVD",
"address_2": "SUITE 112",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132287",
"telephone_number": "512-260-1710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 DISCOVERY BLVD",
"address_2": "SUITE 112",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132287",
"telephone_number": "512-260-1710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEN",
"first_name": "JIMMY",
"middle_name": "I-CHING",
"name_prefix": "Mr.",
"credential": "L. AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TX",
"license": "755",
"primary": true
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "TX",
"license": "NA08423785",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.