Organization Active NPI

Pinecrest Acupuncture Clinic, LTD

  • Clinic/Center
  • Alexandria, VA
National Provider Identifier
1366891962
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PINECREST ACUPUNCTURE CLINIC, LTD
Practice address
4613 Pinecrest Office Park Dr
Suite C
Alexandria, VA 22312-1442
Phone
(703) 354-3380
NPI assigned
Jun 6, 2016
Last updated
Jun 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Ms. Mi Park
Title
Office Manager
Phone
(703) 354-3380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X VA Primary

Addresses

Primary practice location

4613 Pinecrest Office Park Dr
Suite C
Alexandria, VA 22312-1442

Mailing address

4613 Pinecrest Office Park Dr
Suite C
Alexandria, VA 22312-1442
Phone (703) 354-3380

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1366891962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 PINECREST OFFICE PARK DR",
            "address_2": "SUITE C",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121442",
            "telephone_number": "703-354-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 PINECREST OFFICE PARK DR",
            "address_2": "SUITE C",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121442",
            "telephone_number": "703-354-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINECREST ACUPUNCTURE CLINIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "MI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-354-3380",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.