Individual provider Active NPI

Minjoo Oh, MS, LAC., OMD

  • Acupuncturist
  • Scottsdale, AZ
National Provider Identifier
1538575006
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
16138 Issued in CA
Practice address
6920 E Shea Blvd Ste 203
Scottsdale, AZ 85254-7100
Phone
(602) 486-0240
Fax
(925) 558-4460
NPI assigned
Jul 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X LAC-010168 AZ
Acupuncturist 171100000X 16138 CA Primary

Addresses

Primary practice location

6920 E Shea Blvd Ste 203
Scottsdale, AZ 85254-7100

Mailing address

6920 E Shea Blvd Ste 203
Scottsdale, AZ 85254-7100
Phone (602) 486-0240

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LAC-010168AZMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1404604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1538575006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 E SHEA BLVD STE 203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852547100",
            "telephone_number": "602-486-0240",
            "fax_number": "925-558-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 E SHEA BLVD STE 203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852547100",
            "telephone_number": "602-486-0240",
            "fax_number": "925-558-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "MINJOO",
        "credential": "MS, LAC., OMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-06",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "LAC-010168",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.