Active NPI
Joonsung Kim
- Acupuncturist
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Practice address
- 111 Lamon St Ste 127a
Fayetteville, NC 28301-4917 - Phone
- (910) 339-3800
- NPI assigned
- Apr 21, 2023
- Last updated
- Apr 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
111 Lamon St Ste 127a
Fayetteville, NC 28301-4917
Mailing address
3011 Murril LN
Blacksburg, VA 24060-3761
Other practice location 1
2955 Market St Ste A
Christiansburg, VA 24073-6575
Phone (540) 251-5833
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Tree Clinic | Acupuncturist | Current | Accepting new patients |
Locations
111 Lamon St
Ste 127A
Fayetteville, NC 28301
Phone (910) 339-3800
2955 Market St
Ste A
Christiansburg, VA 24073
Phone (540) 251-5833
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": "1682035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1396432092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3011 MURRIL LN",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240603761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 LAMON ST STE 127A",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283014917",
"telephone_number": "910-339-3800"
}
],
"practiceLocations": [
{
"address_1": "2955 Market St Ste A",
"address_purpose": "LOCATION",
"city": "Christiansburg",
"state": "VA",
"postal_code": "240736575",
"country_code": "US",
"telephone_number": "540-251-5833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JOONSUNG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-21",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.