Individual provider Active NPI

Jinsong Xiao

  • Massage Therapist
  • Scottsdale, AZ
National Provider Identifier
1598306268
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-20116 Issued in AZ
Practice address
3225 N 75TH St Ste 115
Scottsdale, AZ 85251-6928
Phone
(480) 429-8881
Fax
(480) 429-8882
NPI assigned
Oct 3, 2019
Last updated
Oct 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-20116 AZ Primary

Addresses

Primary practice location

3225 N 75TH St Ste 115
Scottsdale, AZ 85251-6928

Mailing address

3225 N 75TH St Ste 115
Scottsdale, AZ 85251-6928
Phone (480) 429-8881

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

LicenseStateTypeSpecialty
MT-20116AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emed Clinic, LLC. Massage Therapist PastSince Oct 6, 2019 Accepting new patients
Great Wall Chinese Medicine, LLC. Massage Therapist PastSince Oct 6, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1598306268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 N 75TH ST STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516928",
            "telephone_number": "480-429-8881",
            "fax_number": "480-429-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 N 75TH ST STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516928",
            "telephone_number": "480-429-8881",
            "fax_number": "480-429-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIAO",
        "first_name": "JINSONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-20116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.