Organization Active NPI

Theacuelan Clinic LLC

  • Acupuncturist
  • Fairfax, VA
National Provider Identifier
1508773847
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
THEACUELAN CLINIC LLC
Practice address
10090 Main St Ste 104
Fairfax, VA 22031-3412
Phone
(703) 401-1442
NPI assigned
Aug 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
The Ngoc Nguyen, DOM, LAC
Title
Acupunturist
Phone
(703) 401-1442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

10090 Main St Ste 104
Fairfax, VA 22031-3412

Mailing address

10090 Main St Ste 104
Fairfax, VA 22031-3412
Phone (703) 401-1442

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1508773847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10090 MAIN ST STE 104",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313412",
            "telephone_number": "703-401-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10090 MAIN ST STE 104",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313412",
            "telephone_number": "703-401-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEACUELAN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THE",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "ACUPUNTURIST",
        "authorized_official_telephone_number": "703-401-1442",
        "authorized_official_credential": "DOM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.