Active NPI
Hae Jung Ko, LAC
- Acupuncturist
- Greenville, SC
National Provider Identifier
1669796330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 55
- Practice address
- 8590 Pelham Rd
#13
Greenville, SC 29615-5786 - Phone
- (864) 286-0777
- NPI assigned
- Mar 24, 2010
- Last updated
- Mar 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 55 | SC | Primary |
Addresses
Primary practice location
8590 Pelham Rd
#13
Greenville, SC 29615-5786
Mailing address
8590 Pelham Rd
#13
Greenville, SC 29615-5786
Phone (864) 286-0777
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 |
|---|---|---|---|
| 55 | SC | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269388800000",
"number": "1669796330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8590 PELHAM RD",
"address_2": "#13",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296155786",
"telephone_number": "864-286-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8590 PELHAM RD",
"address_2": "#13",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296155786",
"telephone_number": "864-286-0777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KO",
"first_name": "HAE",
"middle_name": "JUNG",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-24",
"last_updated": "2010-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "SC",
"license": "55",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.