Individual provider Active NPI

Min Sun Chung

  • Acupuncturist
  • Herndon, VA
National Provider Identifier
1619219045
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121000717 Issued in VA
Practice address
1035 Sterling Rd Ste 101
Herndon, VA 20170-3838
Phone
(571) 234-1479
NPI assigned
Mar 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02047 MD
Acupuncturist 171100000X 0121000717 VA Primary

Addresses

Primary practice location

1035 Sterling Rd Ste 101
Herndon, VA 20170-3838

Mailing address

11800 Sunset Hills Rd Unit 1026
Reston, VA 20190-4800
Phone (571) 234-1479

Other practice location 1

8230 Old Courthouse Rd Ste 400
Vienna, VA 22182-3853
Phone (571) 234-1479

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
U02047MDMDAcupuncturist
0121000717VAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1364083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1619219045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 SUNSET HILLS RD UNIT 1026",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904800",
            "telephone_number": "571-234-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 STERLING RD STE 101",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703838",
            "telephone_number": "571-234-1479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8230 Old Courthouse Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221823853",
            "country_code": "US",
            "telephone_number": "571-234-1479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "MIN SUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-24",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02047",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.