Ah Reum Park

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0121000798 Issued in VA

Practice address

7620 Little River Tpke
Suite 101
Annandale, VA 22003-2620

Phone

(703) 750-0577

NPI assigned

Jun 15, 2016

Last updated

Nov 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Thomas Acupuncture Inc

  • Acupuncturist
  • Vienna, VA
  • NPI 1548521636
  NPD (past)

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1437509825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10602 DAYSAILER DR",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220391902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 LITTLE RIVER TPKE",
            "address_2": "SUITE 101",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032620",
            "telephone_number": "703-750-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "AH REUM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "7620 Little River Tpke",
            "address_2": "Suite 101",
            "city": "Annandale",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220032620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Seung W Paik, M.D.
• Gopal S Pal, D.D.S.
• Sandhya A Pal, D.D.S.
• Pan Homehealth Support Services LLC
• Manisha Parikh, P.T.
• Henry Insuk Park, DDS
• Hune June Park, DMD
• Jaung Soon Park, L.AC., DAOM
• Ju Hee Park, DDS
• Kong Surk Park, D.C.

• Acupuncturist in Annandale, VA
• Providers in Annandale, VA by specialty
• Acupuncturist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.