Active NPI
Aeja Kim
- Acupuncturist
- Las Vegas, NV
National Provider Identifier
1629725049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 2201
- Practice address
- 3030 S Jones Blvd Ste 107
Las Vegas, NV 89146-6793 - Phone
- (708) 708-2207
- NPI assigned
- Mar 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 2201 | NV | Primary |
Addresses
Primary practice location
3030 S Jones Blvd Ste 107
Las Vegas, NV 89146-6793
Mailing address
3030 S Jones Blvd Ste 107
Las Vegas, NV 89146-6793
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2201 | NV | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Rock Natural Medicine LLC | Acupuncturist | Current | Accepting new patients |
Locations
3030 S Jones Blvd
Ste 107
Las Vegas, NV 89146
Phone (702) 708-2207
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.
-
- Acupuncturist
- Las Vegas, NV
- NPI 1689276610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646438400000",
"number": "1629725049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 S JONES BLVD STE 107",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 S JONES BLVD STE 107",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466793",
"telephone_number": "708-708-2207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "AEJA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-05",
"last_updated": "2022-03-05",
"certification_date": "2022-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NV",
"license": "2201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.