NPIMap

Organization Active NPI

Wellness Acupuncture Clinic Inc

  • Acupuncturist
  • Dallas, TX
National Provider Identifier
1588939698
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01318 Issued in TX
Legal business name
WELLNESS ACUPUNCTURE CLINIC INC
Practice address
2257 Royal LN
Ste 100
Dallas, TX 75229-7819
Phone
(972) 241-0193
Fax
(972) 241-0193
NPI assigned
Mar 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Authorized official

Name
Mr. Il Woo LeeNPI 1376797753
Title
Acupuncturist
Phone
(972) 241-0193

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 AC01318 TX Primary

Addresses

Primary practice location

2257 Royal LN
Ste 100
Dallas, TX 75229-7819

Mailing address

2257 Royal LN
Ste 100
Dallas, TX 75229-7819
Phone (972) 241-0193

National Provider Directory

National Provider Directory

Locations

2257 Royal Ln
Ste 100
Dallas, TX 75229
Phone (972) 241-0193

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": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1588939698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 ROYAL LN",
            "address_2": "STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752297819",
            "telephone_number": "972-241-0193",
            "fax_number": "972-241-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 ROYAL LN",
            "address_2": "STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752297819",
            "telephone_number": "972-241-0193",
            "fax_number": "972-241-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ACUPUNCTURE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "IL WOO",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "972-241-0193",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.