Organization Active NPI

Zen Wellness Center LLC

  • Acupuncturist
  • Wilmington, DE
National Provider Identifier
1497260129
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ZEN WELLNESS CENTER LLC
Practice address
249 Philadelphia Pike
Wilmington, DE 19809-3109
Phone
(302) 559-1325
NPI assigned
Dec 4, 2017
Last updated
Dec 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Authorized official

Name
Dongkyu Song, L.AC. DAOMNPI 1114196276
Title
President
Phone
(302) 559-1325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

249 Philadelphia Pike
Wilmington, DE 19809-3109

Mailing address

249 Philadelphia Pike
Wilmington, DE 19809-3109

Other identifiers 1

IdentifierTypeStateIssuer
1124496484OtherACUPUNCTURE

National Provider Directory

National Provider Directory

Locations

249 Philadelphia Pike
Wilmington, DE 19809
Phone (302) 482-3025

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1497260129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 PHILADELPHIA PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198093109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 PHILADELPHIA PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198093109",
            "telephone_number": "302-559-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEN WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "DONGKYU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-559-1325",
        "authorized_official_credential": "L.AC.  DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "1124496484",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.