Active NPI
Andrew C Wen, L.AC.
- Acupuncturist
- Anthem, AZ
National Provider Identifier
1417165754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0472
- Practice address
- 41125 N Daisy Mountain Dr
Anthem, AZ 85086-4954 - Phone
- (623) 680-8780
- NPI assigned
- May 18, 2007
- 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 | 0472 | AZ | Primary |
Addresses
Primary practice location
41125 N Daisy Mountain Dr
Anthem, AZ 85086-4954
Mailing address
1308 W Whitman Dr
Anthem, AZ 85086-3917
Phone (623) 680-8780
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0472 | AZ | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352851200000",
"number": "1417165754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 W WHITMAN DR",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850863917",
"telephone_number": "623-680-8780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41125 N DAISY MOUNTAIN DR",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850864954",
"telephone_number": "623-680-8780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEN",
"first_name": "ANDREW",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2012-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AZ",
"license": "0472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anthem, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.