Individual provider Active NPI

Xiong Chang, LAC

  • Acupuncturist
  • Charlottesville, VA
National Provider Identifier
1669619722
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121000489 Issued in VA
Practice address
1415 Sachem PL Unit 2B
Charlottesville, VA 22901-2557
Phone
(434) 284-7935
Fax
(434) 284-7936
NPI assigned
Jan 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0121000489 VA Primary

Addresses

Primary practice location

1415 Sachem PL Unit 2B
Charlottesville, VA 22901-2557

Mailing address

1415 Sachem PL Unit 2B
Charlottesville, VA 22901-2557
Phone (434) 284-7935

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0121000489VAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1669619722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 SACHEM PL UNIT 2B",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012557",
            "telephone_number": "434-284-7935",
            "fax_number": "434-284-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 SACHEM PL UNIT 2B",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012557",
            "telephone_number": "434-284-7935",
            "fax_number": "434-284-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "XIONG",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-12",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.