Organization Active NPI

Dong Shin Acupuncture LLC

  • Acupuncturist
  • Duluth, GA
National Provider Identifier
1568055499
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
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

Updated by the provider on Feb 11, 2021

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.