NPIMap

Organization Active NPI

Kennesaw Acupuncture Clinic

  • Clinic/Center
  • Kennesaw, GA
National Provider Identifier
1497279731
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
191 Issued in GA
Legal business name
KENNESAW ACUPUNCTURE CLINIC
Practice address
1815 Old 41 Hwy NW Ste 140
Kennesaw, GA 30152-4422
Phone
(678) 402-5170
NPI assigned
Jul 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Authorized official

Name
Chiuying Ko, LACNPI 1275834947
Title
Owner
Phone
(678) 920-0778

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
Clinic/Center 261Q00000X 191 GA Primary

Addresses

Primary practice location

1815 Old 41 Hwy NW Ste 140
Kennesaw, GA 30152-4422

Mailing address

1815 Old 41 Hwy NW Ste 140
Kennesaw, GA 30152-4422
Phone (678) 402-5170

National Provider Directory

National Provider Directory

Locations

1815 Old 41 Hwy NW
Ste 140
Kennesaw, GA 30152
Phone (678) 402-5170

Practitioners & affiliated clinicians

Practitioners 2

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": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1497279731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 OLD 41 HWY NW STE 140",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524422",
            "telephone_number": "678-402-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 OLD 41 HWY NW STE 140",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524422",
            "telephone_number": "678-402-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNESAW ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "CHIUYING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-920-0778",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.