Kan Lin Chen, LAC, MAOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

238028 Issued in MA

Practice address

572 Washington St
Suite 3
Wellesley, MA 02482-6418

Phone

(781) 235-1038

NPI assigned

Feb 17, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bamboo Wisdom Acupuncture

  • Acupuncturist
  • Wellesley, MA
  • NPI 1427440601
  NPD (past) Authorized official

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1598087512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 WASHINGTON ST",
            "address_2": "SUITE 3",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024826418",
            "telephone_number": "781-235-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 WASHINGTON ST",
            "address_2": "SUITE 3",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024826418",
            "telephone_number": "781-235-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "KAN",
        "middle_name": "LIN",
        "credential": "LAC, MAOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-17",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "238028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE",
            "identifier": "238028",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Kathleen Chambers, LPN
• Janet M Chang, M.D.
• Lunessa Charles
• Elizabeth M Charter, LICSW
• Alexandra Chavis, MSW
• Yusheng Chen, DPT
• Pamela Hillyard Cheney, M.D.
• Bernidah Cherilus
• Tanya Cherkerzian, LICSW
• Daniel M. Cheron, PH.D.

• Acupuncturist in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Acupuncturist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.