Individual provider Active NPI

Joann K. Chan, DACM, LAC

  • Acupuncturist
  • Brooklyn, NY
National Provider Identifier
1538834007
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006581-01 Issued in NY
Practice address
186 Montague St Lbby
Brooklyn, NY 11201-3634
Phone
(917) 790-9167
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006581-01 NY Primary

Addresses

Primary practice location

186 Montague St Lbby
Brooklyn, NY 11201-3634

Mailing address

65 Pike St Apt 5G
New York, NY 10002-7348
Phone (917) 790-9167

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
006581-01NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Politic Acupuncture PLLC Acupuncturist CurrentSince Aug 28, 2021 Accepting new patients

Locations

186 Montague St
Lbby
Brooklyn, NY 11201
Phone (347) 709-0030

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1538834007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PIKE ST APT 5G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027348",
            "telephone_number": "917-790-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 MONTAGUE ST LBBY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013634",
            "telephone_number": "917-790-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JOANN",
        "middle_name": "K.",
        "credential": "DACM, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006581-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.