NPIMap

Organization Active NPI

BK Acupuncture Clinic

  • Acupuncturist
  • New Berlin, WI
National Provider Identifier
1376290882
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BK ACUPUNCTURE CLINIC
Practice address
12555 W National Ave Ste 200
New Berlin, WI 53151-4061
Phone
(262) 754-8040
Fax
(262) 754-8040
NPI assigned
Mar 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Authorized official

Name
Dr. Bongkyun Kang, LACNPI 1538395850
Title
Owner/Acupuncturist
Phone
(262) 754-8040

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
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

12555 W National Ave Ste 200
New Berlin, WI 53151-4061

Mailing address

12555 W National Ave Ste 200
New Berlin, WI 53151-4061
Phone (262) 754-8040

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1376290882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 W NATIONAL AVE STE 200",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514061",
            "telephone_number": "262-754-8040",
            "fax_number": "262-754-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 W NATIONAL AVE STE 200",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514061",
            "telephone_number": "262-754-8040",
            "fax_number": "262-754-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BK ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "BONGKYUN",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "262-754-8040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.