Individual provider Active NPI

Hojun Shin, L.AC.

  • Acupuncturist
  • Virginia Beach, VA
National Provider Identifier
1386075851
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121000841 Issued in VA
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AC15349CAMDAcupuncturist
0121000841VAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Nada Group Corporation Acupuncturist CurrentSince Jan 12, 2020 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.

Verify at the official NPI Registry.