Individual provider Active NPI

Ian Jeffrey Wahl, DAC, L.AC., CH

  • Acupuncturist
  • Arlington Heights, IL
National Provider Identifier
1396918934
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.000535 Issued in IL
Practice address
3375 N Arlington Heights Rd
Suite a
Arlington Heights, IL 60004-7701
Phone
(847) 392-7901
Fax
(847) 392-7921
NPI assigned
Apr 3, 2008
Last updated
Jul 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.000535 IL Primary
Acupuncturist 171100000X DA00288 RI
Acupuncturist 171100000X 452005 WI
Acupuncturist 171100000X 0454 AZ

Addresses

Primary practice location

3375 N Arlington Heights Rd
Suite a
Arlington Heights, IL 60004-7701

Mailing address

3375 N Arlington Heights Rd
Suite a
Arlington Heights, IL 60004-7701
Phone (847) 392-7901

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
198.000535ILMDAcupuncturist
DA00288RIMDAcupuncturist
452005WIMDAcupuncturist
0454AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Health and Wellness Inc Past Accepting new patients
The Wahls of Wellness, LLC Past Accepting new patients

Organizations & group practices 2

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": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1396918934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE A",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047701",
            "telephone_number": "847-392-7901",
            "fax_number": "847-392-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE A",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047701",
            "telephone_number": "847-392-7901",
            "fax_number": "847-392-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "IAN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DAC, L.AC., CH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000535",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "RI",
            "license": "DA00288",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "452005",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.