Active NPI
Kimin Kim Moulton, PH.D,L.AC.
- Acupuncturist
- Houston, TX
National Provider Identifier
1477897478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00394
- Practice address
- 1335 Space Park Dr Ste D
Houston, TX 77058-3467 - Phone
- (281) 333-0881
- Fax
- (281) 333-0881
- NPI assigned
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00394 | TX | Primary |
Addresses
Primary practice location
1335 Space Park Dr Ste D
Houston, TX 77058-3467
Mailing address
1335 Space Park Dr Ste D
Houston, TX 77058-3467
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC00394 | TX | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimin Acupuncture Inc | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Houston, TX
- NPI 1972682235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1477897478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 SPACE PARK DR STE D",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770583467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 SPACE PARK DR STE D",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770583467",
"telephone_number": "281-333-0881",
"fax_number": "281-333-0881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOULTON",
"first_name": "KIMIN",
"middle_name": "KIM",
"name_prefix": "Dr.",
"credential": "PH.D,L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TX",
"license": "AC00394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.