Active NPI
Royal Acupuncture & Herb Center
- Acupuncturist
- Annandale, VA
National Provider Identifier
1477720696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0121000381
- Legal business name
- ROYAL ACUPUNCTURE & HERB CENTER
- Practice address
- 5105C Backlick Rd
Annandale, VA 22003-6005 - Phone
- (703) 813-6009
- NPI assigned
- May 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chang Hee Kim, LAC.
- Title
- Director
- Phone
- (703) 813-6009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0121000381 | VA | Primary |
Addresses
Primary practice location
5105C Backlick Rd
Annandale, VA 22003-6005
Mailing address
5105C Backlick Rd
Annandale, VA 22003-6005
Phone (703) 813-6009
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210809600000",
"number": "1477720696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5105C BACKLICK RD",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220036005",
"telephone_number": "703-813-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5105C BACKLICK RD",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220036005",
"telephone_number": "703-813-6009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYAL ACUPUNCTURE & HERB CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-15",
"last_updated": "2008-05-15",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "CHANG",
"authorized_official_middle_name": "HEE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "703-813-6009",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LAC."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "VA",
"license": "0121000381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.