Active NPI
McLean Center for Complementary and Alternative Medicine, PLC
- Acupuncturist
- Vienna, VA
National Provider Identifier
1407939549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0121000278
- Legal business name
- MCLEAN CENTER FOR COMPLEMENTARY AND ALTERNATIVE MEDICINE, PLC
- Practice address
- 8214 Old Courthouse Rd
Vienna, VA 22182-3885 - Phone
- (703) 499-4428
- Fax
- (703) 547-8197
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arthur Y Fan, LAC
- Title
- President
- Phone
- (703) 499-4428
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0121000278 | VA | Primary |
| Acupuncturist | 171100000X | AC30091 | DC |
Addresses
Primary practice location
8214 Old Courthouse Rd
Vienna, VA 22182-3885
Mailing address
8214 Old Courthouse Rd
Vienna, VA 22182-3885
Phone (703) 499-4428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J3980001 | Other | VA | CAREFIRST BCBS PROVIDERID |
National Provider Directory
National Provider DirectoryLocations
8214 Old Courthouse Rd
Vienna, VA 22182
Phone (703) 499-4428
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Vienna, VA
- NPI 1518033265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407939549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8214 OLD COURTHOUSE RD",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823885",
"telephone_number": "703-499-4428",
"fax_number": "703-547-8197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8214 OLD COURTHOUSE RD",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823885",
"telephone_number": "703-499-4428",
"fax_number": "703-547-8197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCLEAN CENTER FOR COMPLEMENTARY AND ALTERNATIVE MEDICINE, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FAN",
"authorized_official_first_name": "ARTHUR",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-499-4428",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LAC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "VA",
"license": "0121000278",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "DC",
"license": "AC30091",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS PROVIDERID",
"identifier": "J3980001",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.