Individual provider Active NPI

Shurong Li, DOM, L.AC.

  • Acupuncturist
  • Albuquerque, NM
National Provider Identifier
1417836313
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AOM-2024-0032 Issued in NM
Practice address
8727 Tierra Alegre Dr NE
Albuquerque, NM 87122-2643
Phone
(505) 900-8886
NPI assigned
Aug 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AOM-2024-0032 NM Primary

Addresses

Primary practice location

8727 Tierra Alegre Dr NE
Albuquerque, NM 87122-2643

Mailing address

8727 Tierra Alegre Dr NE
Albuquerque, NM 87122-2643
Phone (505) 900-8886

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
AOM-2024-0032NMMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1417836313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8727 TIERRA ALEGRE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222643",
            "telephone_number": "505-900-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8727 TIERRA ALEGRE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222643",
            "telephone_number": "505-900-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "SHURONG",
        "credential": "DOM, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "AOM-2024-0032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.