Active NPI
Sunny Yan Wang, LAC.
- Acupuncturist
- Bellevue, WA
National Provider Identifier
1366717571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC OOOO3022
- Practice address
- 12505 Bel Red Rd Ste 188
Bellevue, WA 98005-2510 - Phone
- (425) 999-7172
- NPI assigned
- Mar 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | AC OOOO3022 | WA | Primary |
Addresses
Primary practice location
12505 Bel Red Rd Ste 188
Bellevue, WA 98005-2510
Mailing address
12505 Bel Red Rd Ste 188
Bellevue, WA 98005-2510
Phone (425) 999-7172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC 00003022 | Other | WA | STATE OF WASHINGTON |
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 |
|---|---|---|---|
| AC OOOO3022 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1366717571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12505 BEL RED RD STE 188",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052510",
"telephone_number": "425-999-7172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12505 BEL RED RD STE 188",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052510",
"telephone_number": "425-999-7172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "SUNNY",
"middle_name": "YAN",
"name_prefix": "Prof.",
"credential": "LAC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-21",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC OOOO3022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WASHINGTON",
"identifier": "AC 00003022",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.