Active NPI
Hojun Shin, L.AC.
- Acupuncturist
- Virginia Beach, VA
National Provider Identifier
1386075851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0121000841
- Practice address
- 5295 Greenwich Rd Ste 104
Virginia Beach, VA 23462-6046 - Phone
- (757) 513-3910
- Fax
- (757) 317-0265
- NPI assigned
- Dec 9, 2013
- Last updated
- Jan 9, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0121000841 | VA | Primary |
| Acupuncturist | 171100000X | AC15349 | CA |
Addresses
Primary practice location
5295 Greenwich Rd Ste 104
Virginia Beach, VA 23462-6046
Mailing address
5132 Edon Hall LN
Virginia Beach, VA 23464-6217
Phone (757) 513-3910
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 |
|---|---|---|---|
| AC15349 | CA | MD | Acupuncturist |
| 0121000841 | VA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nada Group Corporation | Acupuncturist | Current | Accepting new patients |
Locations
5295 Greenwich Rd
Ste 104
Virginia Beach, VA 23462
Phone (757) 513-3910
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1386075851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5132 EDON HALL LN",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234646217",
"telephone_number": "757-513-3910",
"fax_number": "757-317-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5295 GREENWICH RD STE 104",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234626046",
"telephone_number": "757-513-3910",
"fax_number": "757-317-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "HOJUN",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-09",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "VA",
"license": "0121000841",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC15349",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.