Individual provider Active NPI

Ting Ting Yin

  • Acupuncturist
  • Waltham, MA
National Provider Identifier
1386289783
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
282067 Issued in MA
Practice address
1077 Lexington St
Waltham, MA 02452-7233
Phone
(781) 642-7934
NPI assigned
Nov 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 282067 MA Primary

Addresses

Primary practice location

1077 Lexington St
Waltham, MA 02452-7233

Mailing address

1077 Lexington St Ste 203
Waltham, MA 02452-7233
Phone (781) 642-7934

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
282067MAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Integra Wellness Health. PC CurrentSince Apr 21, 2024 Accepting new patients

Locations

1077 Lexington St
Ste 203
Waltham, MA 02452
Phone (617) 244-1477

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1386289783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 LEXINGTON ST STE 203",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024527233",
            "telephone_number": "781-642-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 LEXINGTON ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024527233",
            "telephone_number": "781-642-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIN",
        "first_name": "TING TING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-10",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "282067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.