NPIMap

Organization Active NPI

Isd Acupuncture & Herbal Clinic

  • Acupuncturist
  • Lakewood, WA
National Provider Identifier
1457592198
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC2345 Issued in WA
Legal business name
ISD ACUPUNCTURE & HERBAL CLINIC
Practice address
9122 South Tacoma Way
#110
Lakewood, WA 98499
Phone
(253) 588-4800
Fax
(253) 588-5808
NPI assigned
Mar 10, 2009
Organization subpart
Yes
Parent organization
ISD ACUPUNCTURE & HERBAL CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Hyo-Kyung Kim, LAC.
Title
Associate Acupuncturist
Phone
(253) 588-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC2345 WA Primary

Addresses

Primary practice location

9122 South Tacoma Way
#110
Lakewood, WA 98499

Mailing address

9122 South Tacoma Way
#110
Lakewood, WA 98499
Phone (253) 588-4800

National Provider Directory

National Provider Directory
Part of
Isd Acupuncture Herbal Clinic

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1457592198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9122 SOUTH TACOMA WAY",
            "address_2": "#110",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98499",
            "telephone_number": "253-588-4800",
            "fax_number": "253-588-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9122 SOUTH TACOMA WAY",
            "address_2": "#110",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98499",
            "telephone_number": "253-588-4800",
            "fax_number": "253-588-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISD ACUPUNCTURE & HERBAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISD ACUPUNCTURE & HERBAL CLINIC",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYO-KYUNG",
        "authorized_official_title_or_position": "ASSOCIATE ACUPUNCTURIST",
        "authorized_official_telephone_number": "253-588-4800",
        "authorized_official_credential": "LAC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC2345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.