Individual provider Active NPI

Qingyun Xu, ACUPUNCTURIST

  • Acupuncturist
  • San Antonio, TX
National Provider Identifier
1609415603
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01944 Issued in TX
Practice address
11255 Huebner Rd Ste 206
San Antonio, TX 78230-1685
Phone
(210) 251-2489
NPI assigned
Dec 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC01944 TX Primary

Addresses

Primary practice location

11255 Huebner Rd Ste 206
San Antonio, TX 78230-1685

Mailing address

11255 Huebner Rd Ste 206
San Antonio, TX 78230-1685
Phone (210) 251-2489

Other practice location 1

2838 N Loop 1604 E Ste 109
San Antonio, TX 78232-1712
Phone (210) 402-7320

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL booker Direct

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
AC01944TXMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Taichi Wellness Spa Plus Acupuncturist CurrentSince Dec 29, 2019 Accepting new patients

Locations

11255 Huebner Rd
Ste 206
San Antonio, TX 78230
Phone (210) 251-2489

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1609415603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11255 HUEBNER RD STE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301685",
            "telephone_number": "210-251-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11255 HUEBNER RD STE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301685",
            "telephone_number": "210-251-2489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2838 N Loop 1604 E Ste 109",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782321712",
            "country_code": "US",
            "telephone_number": "210-402-7320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XU",
        "first_name": "QINGYUN",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "booker",
            "affiliation": "N",
            "endpointDescription": "booking software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11255 Huebner Rd Ste 206",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782301685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.