Grace & Young Acupuncture PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

GRACE & YOUNG ACUPUNCTURE PLLC

Practice address

12411 Hymeadow Dr Ste 3D
Austin, TX 78750-1829

Phone

(512) 609-8095

NPI assigned

Mar 22, 2020

Organization subpart

No

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

Authorized official

Name

Shengyan TanNPI 1902150808

Title

Owner

Phone

(512) 994-5854

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shengyan Grace Tan, LAC

  • Acupuncturist
  • Austin, TX
  • NPI 1902150808
  NPD Authorized official

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587168000000",
    "number": "1407482359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 HYMEADOW DR STE 3D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 HYMEADOW DR STE 3D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501829",
            "telephone_number": "512-609-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE & YOUNG ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-22",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "SHENGYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-994-5854"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD, UNITEDHEALTHCARECAQH",
            "identifier": "CAQH12475412",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "12411HymeadowDrSte3D",
            "affiliation": "N",
            "address_1": "12411 Hymeadow Dr Ste 3D",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787501829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Gower, ACNS-BC
• Sara Huizinga Gowin, DDS
• Shelly Goyal
• Sonia Grabowska, DNP, APRN, AGACNP-BC
• Kevin Grabski, M.D.
• Grace S Yeh, MD, PA (Grace S Yeh, MD)
• Grace Space Services PLLC
• Grace Space Therapy Spot PLLC
• Grace Therapy and Wellness, PLLC
• Alexandra Grace, MSN, CPNP, ACGN

• Acupuncturist in Austin, TX
• Providers in Austin, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2020; 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.