Active NPI
Ying Wang, LAC
- Acupuncturist
- Cordova, TN
National Provider Identifier
1578707808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 028
- Practice address
- 8066 Walnut Run Rd
Suite 102
Cordova, TN 38018-8841 - Phone
- (901) 463-0566
- NPI assigned
- Apr 30, 2009
- Last updated
- Apr 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 028 | TN | Primary |
Addresses
Primary practice location
8066 Walnut Run Rd
Suite 102
Cordova, TN 38018-8841
Mailing address
890 Sun Vista Dr E
Cordova, TN 38018-3522
Phone (901) 751-1353
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
| License | State | Type | Specialty |
|---|---|---|---|
| 028 | TN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241049600000",
"number": "1578707808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 SUN VISTA DR E",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380183522",
"telephone_number": "901-751-1353",
"fax_number": "901-751-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8066 WALNUT RUN RD",
"address_2": "SUITE 102",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380188841",
"telephone_number": "901-463-0566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "YING",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-30",
"last_updated": "2009-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TN",
"license": "028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.