Active NPI
Shuju Grace Cheng, L.AC.
- Acupuncturist
- Boulder, CO
National Provider Identifier
1376680488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1167
- Practice address
- 3015 47TH St
Suite E2
Boulder, CO 80301-5411 - Phone
- (720) 541-8070
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 1167 | CO | Primary |
Addresses
Primary practice location
3015 47TH St
Suite E2
Boulder, CO 80301-5411
Mailing address
PO Box 3363
Boulder, CO 80307-3363
Phone (720) 541-8070
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 |
|---|---|---|---|
| 1167 | CO | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491091200000",
"number": "1376680488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3363",
"city": "BOULDER",
"state": "CO",
"postal_code": "803073363",
"telephone_number": "720-541-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 47TH ST",
"address_2": "SUITE E2",
"city": "BOULDER",
"state": "CO",
"postal_code": "803015411",
"telephone_number": "720-541-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENG",
"first_name": "SHUJU",
"middle_name": "GRACE",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2017-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "1167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.