Shanghai Chinese Medicine Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0121000285 Issued in VA

Legal business name

SHANGHAI CHINESE MEDICINE CLINIC

Practice address

2102 Gallows Rd # C
Vienna, VA 22182-3960

Phone

(703) 821-1798

Fax

(703) 506-9111

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Helmsley Jesoon Park, L.AC

Title

Senior Practitioner

Phone

(703) 338-1400

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haoyun W Park, L.AC

  • Acupuncturist
  • Vienna, VA
  • NPI 1720259161
  NPD (past)
• Jesoon Helmsley Park, L.AC

  • Acupuncturist
  • Vienna, VA
  • NPI 1104048438
  NPD (past)

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1649442898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 GALLOWS RD # C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823960",
            "telephone_number": "703-821-1798",
            "fax_number": "703-506-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 GALLOWS RD # C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823960",
            "telephone_number": "703-821-1798",
            "fax_number": "703-506-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANGHAI CHINESE MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "HELMSLEY",
        "authorized_official_middle_name": "JESOON",
        "authorized_official_title_or_position": "SENIOR PRACTITIONER",
        "authorized_official_telephone_number": "703-338-1400",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayvan Shahrzad, DMD
• Ismaiel Shaikh
• Shahla Shakeri
• Ahmad Zafar Shakibi
• Sara Shambayati, DDS
• Andrew Jason Shannon, D.M.D.
• Antonio Shapiama
• Mustafa Sharieff
• Lily K Sharifzadeh-Nadimi, D.D.S., D.M.D.
• Sharon Singh PHD & Associates, PLC (Sharon Singh PhD & Associates)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.