Roger Xin Wang, L. AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP3285 Issued in FL

Practice address

12627 San Jose Blvd Ste 201
Jacksonville, FL 32223-8638

Phone

(904) 437-5203

Fax

(904) 374-5354

NPI assigned

Feb 17, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Wang Acupuncture Clinic

  • Clinic/Center
  • Jacksonville, FL
  • NPI 1912507765
  NPD Authorized official

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1588023626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12627 SAN JOSE BLVD STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238638",
            "telephone_number": "904-437-5203",
            "fax_number": "904-374-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12627 SAN JOSE BLVD STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238638",
            "telephone_number": "904-437-5203",
            "fax_number": "904-374-5354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1426 Lime St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320344461",
            "country_code": "US",
            "telephone_number": "190-490-9846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1738 Emerson St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322076106",
            "country_code": "US",
            "telephone_number": "904-396-0898",
            "fax_number": "904-374-9052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "ROGER",
        "middle_name": "XIN",
        "name_prefix": "Mr.",
        "credential": "L. AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-17",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chunxia Wang
• Crystal Wang, D.O.
• Jing Wang
• Jinlan Wang, CNP
• Katherine Lily Wang, MD
• Ruei-Hsin Wang, MD
• Stephen Y Wang
• Wei Wang, MD
• Wen Wang, MD
• Yichen Wang, M.D.

• Acupuncturist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.