Active NPI
Dong Shin Acupuncture LLC
- Acupuncturist
- Duluth, GA
National Provider Identifier
1568055499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- DONG SHIN ACUPUNCTURE LLC
- Practice address
- 4500 Satellite Blvd Ste 2370
Duluth, GA 30096-5067 - Phone
- (678) 858-9644
- Fax
- (714) 386-6977
- NPI assigned
- Feb 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dong P Shin, L.AC
- Title
- Owner
- Phone
- (678) 858-9644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
4500 Satellite Blvd Ste 2370
Duluth, GA 30096-5067
Mailing address
1440 Belmont Hills Dr
Suwanee, GA 30024-2008
Phone (678) 858-9644
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Duluth, GA
- NPI 1306154935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613001600000",
"number": "1568055499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 BELMONT HILLS DR",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300242008",
"telephone_number": "678-858-9644",
"fax_number": "714-386-6977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 SATELLITE BLVD STE 2370",
"city": "DULUTH",
"state": "GA",
"postal_code": "300965067",
"telephone_number": "678-858-9644",
"fax_number": "714-386-6977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONG SHIN ACUPUNCTURE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-11",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A",
"authorized_official_last_name": "SHIN",
"authorized_official_first_name": "DONG",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-858-9644",
"authorized_official_credential": "L.AC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.