Tae Heum Yeon, PH.D, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0121000529 Issued in VA

Practice address

7345 McWhorter PL Ste 101
Annandale, VA 22003-5647

Phone

(703) 303-1420

Fax

(703) 642-6088

NPI assigned

Sep 21, 2010

Last updated

Mar 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Goodnews Cam. Inc.

  dba Hanil Oriental Medicine

  • Acupuncturist
  • Annandale, VA
  • NPI 1184423022
  NPD Authorized official

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1629386966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 MCWHORTER PL STE 101",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035647",
            "telephone_number": "703-642-6066",
            "fax_number": "703-642-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 MCWHORTER PL STE 101",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035647",
            "telephone_number": "703-303-1420",
            "fax_number": "703-642-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEON",
        "first_name": "TAE",
        "middle_name": "HEUM",
        "name_prefix": "Dr.",
        "credential": "PH.D, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-21",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9582",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ZZ",
            "license": "200531141197009",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay-Mao Bill Wu, PHARM D
• Denise Carty Wujek, MA CCC-SLP
• Jamie Yang
• Yedam Well-Being Center Inc
• Yen V, Le, D.D.S., P.C. (Aesthetic and Family Dentistry)
• Michelle Yeun
• Billie Taewoo Yi, PA-C
• Hyok Chan Yi, L.AC.,PH.D.
• Yi's Acupuncture Clinic,Inc.
• Judith Arlene Yoder, APRN, BC

• Acupuncturist in Annandale, VA
• Providers in Annandale, VA by specialty
• Acupuncturist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.