Individual provider Active NPI

Hyun Soo Yeo, L.AC

  • Acupuncturist
  • Wellesley, MA
National Provider Identifier
1508113796
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
269376 Issued in MA
Practice address
204 Worcester St
Wellesley, MA 02481-5420
Phone
(213) 222-7481
NPI assigned
Aug 7, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X DAOM0056 RI
Acupuncturist 171100000X 269376 MA Primary

Addresses

Primary practice location

204 Worcester St
Wellesley, MA 02481-5420

Mailing address

535 Roosevelt Ave Apt 611
Central Falls, RI 02863-3204
Phone (213) 222-7481

Other practice location 1

2095 Elmwood Ave Ste 1
Warwick, RI 02888-2405
Phone (213) 222-7481

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

State licenses

LicenseStateTypeSpecialty
269376MAMDAcupuncturist
DAOM0056RIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Promise Integrative Medicine Clinic Ri Acupuncturist Current Accepting new patients
Promise Integrative Medicine Clinic Acupuncturist Current Accepting new patients

Locations

204 Worcester St
Wellesley Hls, MA 02481
Phone (617) 566-0062

2095 Elmwood Ave
Ste 1
Warwick, RI 02888
Phone (213) 222-7481

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508113796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 ROOSEVELT AVE APT 611",
            "city": "CENTRAL FALLS",
            "state": "RI",
            "postal_code": "028633204",
            "telephone_number": "213-222-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WORCESTER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815420",
            "telephone_number": "213-222-7481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2095 Elmwood Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028882405",
            "country_code": "US",
            "telephone_number": "213-222-7481",
            "fax_number": "401-633-7610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEO",
        "first_name": "HYUN SOO",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "RI",
            "license": "DAOM0056",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "269376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.