Paul Park

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0000665 Issued in AL

Practice address

6954 Vaughn Rd
Montgomery, AL 36116-1368

Phone

(334) 301-8860

Fax

(334) 512-9979

NPI assigned

Oct 18, 2016

Last updated

Dec 30, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shalom Acupuncture & Herbs Clinic

  • Acupuncturist
  • Montgomery, AL
  • NPI 1992125645
  NPD (past) Authorized official

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1386195980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6954 VAUGHN RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161368",
            "telephone_number": "334-301-8860",
            "fax_number": "334-512-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6954 VAUGHN RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161368",
            "telephone_number": "334-301-8860",
            "fax_number": "334-512-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AL",
            "license": "0000665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Alexander Parden, M.D.
• Kimberlyn Latrice Parham, MS, LPC
• Jennifer Christine Parish, RN
• Park Place Psychiatry, LLC
• Junmin Park
• Elana Parker Merriweather, ED.S., LPC, NCC, DCD
• Tatiana Parker-Evans, LPC
• Henry Edward Parker Jr., LPC
• Jacob Parker, PHARMD
• Jacquana Shaniece Parker

• Acupuncturist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Acupuncturist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.