Individual provider Active NPI

Thu Yen Mac

  • Acupuncturist
  • Ewa Beach, HI
National Provider Identifier
1629415278
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Practice address
91-1123 Keaunui Dr Ste 223
Ewa Beach, HI 96706-6369
Phone
(808) 638-4559
Fax
(781) 998-2412
NPI assigned
May 22, 2013
Last updated
Oct 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary

Addresses

Primary practice location

91-1123 Keaunui Dr Ste 223
Ewa Beach, HI 96706-6369

Mailing address

91-1123 Keaunui Dr Ste 223
Ewa Beach, HI 96706-6369
Phone (808) 638-4559

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Oahu Acupuncture and Integrative Medicine LLC CurrentSince Oct 9, 2022 Accepting new patients

Locations

91-1123 Keaunui Dr
Ste 223
Ewa Beach, HI 96706
Phone (808) 208-0031

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, 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": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1629415278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1123 KEAUNUI DR STE 223",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066369",
            "telephone_number": "808-638-4559",
            "fax_number": "781-998-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1123 KEAUNUI DR STE 223",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066369",
            "telephone_number": "808-638-4559",
            "fax_number": "781-998-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAC",
        "first_name": "THU YEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.