Individual provider Active NPI

Ka Weng Tam, L.AC.

  • Acupuncturist
  • Woodinville, WA
National Provider Identifier
1396214318
Registry record updated Mar 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60919129 Issued in WA
Practice address
14112 NE 181St PL Apt G302
Woodinville, WA 98072-8554
Phone
(786) 261-8442
NPI assigned
Nov 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006016 NY
Acupuncturist 171100000X AC60919129 WA Primary

Addresses

Primary practice location

14112 NE 181St PL Apt G302
Woodinville, WA 98072-8554

Mailing address

14112 NE 181St PL Apt G302
Woodinville, WA 98072-8554
Phone (786) 261-8442

Other practice location 1

15010 71 Ave Apt. 4H
Flushing, NY 11367-1136
Phone (786) 261-8442

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
AC60919129WAMDAcupuncturist
006016NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553299200000",
    "number": "1396214318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14112 NE 181ST PL APT G302",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728554",
            "telephone_number": "786-261-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14112 NE 181ST PL APT G302",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728554",
            "telephone_number": "786-261-8442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15010 71 Ave Apt. 4H",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113671136",
            "country_code": "US",
            "telephone_number": "786-261-8442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAM",
        "first_name": "KA WENG",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-20",
        "last_updated": "2019-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006016",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60919129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2019; 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.