Organization Active NPI

Myungmun Oriental Medicine LLC

  • Acupuncturist
  • Fairfax, VA
National Provider Identifier
1457710725
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121000567 Issued in VA
Legal business name
MYUNGMUN ORIENTAL MEDICINE LLC
Practice address
10721 Main St Ste G7
Fairfax, VA 22030-6913
Phone
(703) 865-7582
NPI assigned
Feb 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Hyun Kyu Choi
Title
Owner
Phone
(703) 865-7582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 0121000567 VA Primary

Addresses

Primary practice location

10721 Main St Ste G7
Fairfax, VA 22030-6913

Mailing address

10721 Main St Ste G7
Fairfax, VA 22030-6913
Phone (703) 865-7582

National Provider Directory

National Provider Directory

Locations

10721 Main St
Ste G7
Fairfax, VA 22030
Phone (703) 814-6650

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": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1457710725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST STE G7",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306913",
            "telephone_number": "703-865-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST STE G7",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306913",
            "telephone_number": "703-865-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYUNGMUN ORIENTAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "HYUN",
        "authorized_official_middle_name": "KYU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-865-7582"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.