Zhongxiao Tom Cong, M.AC., L.AC., M.A.,

Key facts

NPI

1487976882

Entity type

Individual (NPI type 1)

Primary specialty

Acupuncturist 171100000X

License

U01668 (MD)

Practice address

6708 Wisconsin Ave
Suite 207
Bethesda, MD 20815-5300

Phone

(301) 654-2307

NPI assigned

Feb 26, 2010

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Arts

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 26, 2010.

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1487976882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6708 WISCONSIN AVE",
            "address_2": "SUITE 207",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208155300",
            "telephone_number": "301-654-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6708 WISCONSIN AVE",
            "address_2": "SUITE 207",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208155300",
            "telephone_number": "301-654-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONG",
        "first_name": "ZHONGXIAO",
        "middle_name": "TOM",
        "name_prefix": "Dr.",
        "credential": "M.AC., L.AC., M.A.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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