Taesun Park, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

125 Issued in GA

Practice address

5441 Buford Hwy NE # Suit202
Doraville, GA 30340-1124

Phone

(404) 488-9648

NPI assigned

Apr 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Element Acupuncture Inc.

  • Acupuncturist
  • Doraville, GA
  • NPI 1972125094
  NPD Authorized official
• Rio Acupuncture Inc

  • Acupuncturist
  • Doraville, GA
  • NPI 1356850382
  NPD Authorized official
• Silver Sun Acunetwork LLC

  • Acupuncturist
  • Doraville, GA
  • NPI 1396391157
  NPD Authorized official

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1376763623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 BUFORD HWY",
            "address_2": "STE 202",
            "city": "DARAVILLE",
            "state": "GA",
            "postal_code": "303401168",
            "telephone_number": "770-451-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 BUFORD HWY NE # SUIT202",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401124",
            "telephone_number": "404-488-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "TAESUN",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE NUMBE",
            "identifier": "125",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyung Oh, D.C.
• Ok Management Services LLC
• Aisha Michelle Onamuti, LPN
• James Yaw Oppong Jr.
• Pain Centers of Atlanta
• Siavash Parvardegari, DC
• Rebecca K Perez, RD/LD
• Jonathan Personius
• Mary Pitsenberger
• Emina Racic, M.ED.

• Acupuncturist in Doraville, GA
• Providers in Doraville, GA by specialty
• Acupuncturist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.