Moon Acupuncture and Herb Clinic, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

MOON ACUPUNCTURE AND HERB CLINIC, LLC

Practice address

14631 Route 29 Ste B115
Centreville, VA 20121-5824

Phone

(301) 458-0734

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mikyoung Kim, L.AC

Title

Member-Managed

Phone

(301) 458-0734

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1386548287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4393 POPLAR TREE CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512523",
            "telephone_number": "301-458-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14631 ROUTE 29 STE B115",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201215824",
            "telephone_number": "301-458-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON ACUPUNCTURE AND HERB CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MIKYOUNG",
        "authorized_official_title_or_position": "MEMBER-MANAGED",
        "authorized_official_telephone_number": "301-458-0734",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Young Nam Min, AGPCNP-BC
• Camara J Minks, M.S. CCC-SLP
• Nicole Mitchell, CD
• Khalid Mohamed
• Omaid Momand
• Kathleen Brady Moore, OD
• Diego A Morales, D.D.S.
• James Moshier, DMD
• Motionmed Rehabilitation LLC
• Phillip Munck, DPT, PT

• Acupuncturist in Centreville, VA
• Providers in Centreville, VA by specialty
• Acupuncturist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.