Organization Active NPI

Jeon's Acupuncture, Health Education & Natural Medicine Center, Inc

  • Acupuncturist
  • Boise, ID
National Provider Identifier
1558633164
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU-275 Issued in ID
Legal business name
JEON'S ACUPUNCTURE, HEALTH EDUCATION & NATURAL MEDICINE CENTER, INC
Practice address
2235 S Broadway Ave
Boise, ID 83706-4617
Phone
(208) 901-1956
NPI assigned
Jan 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Mrs. Eunice Yeonseung Jeon, MSOM, L.ACNPI 1891078523
Title
President
Phone
(208) 901-1956

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X ACU-275 ID Primary

Addresses

Primary practice location

2235 S Broadway Ave
Boise, ID 83706-4617

Mailing address

2235 S Broadway Ave
Boise, ID 83706-4617
Phone (208) 901-1956

National Provider Directory

National Provider Directory

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": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1558633164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 S BROADWAY AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064617",
            "telephone_number": "208-901-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 S BROADWAY AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064617",
            "telephone_number": "208-901-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEON'S ACUPUNCTURE, HEALTH EDUCATION & NATURAL MEDICINE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "JEON",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "YEONSEUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-901-1956",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSOM, L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "ACU-275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.