Ji Weon Moon, ACUPUNCTURIST

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

OM000224 Issued in PA

Practice address

1222 Welsh Rd Ste B5
North Wales, PA 19454-2059

Phone

(267) 379-6424

NPI assigned

Sep 1, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Joy Acupuncture & Wellness, Inc.

  • Acupuncturist
  • North Wales, PA
  • NPI 1003315342
  NPD Authorized official

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1669928263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 NAOMIS CT",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542014",
            "telephone_number": "267-379-6424",
            "fax_number": "215-583-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 WELSH RD STE B5",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542059",
            "telephone_number": "267-379-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "JI WEON",
        "name_prefix": "Mr.",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17133",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "OM000224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Booth Mitchell, D.C.
• Montgomery County Wellness Center
• Montgomery Mall Dental, LLP
• Montgomery Smile Center LLC
• Jessica Sungae Moon
• Sunghoon Moon
• Regina Adell Moore-Williams, OTR/L
• Heather E Moore, DPT
• Heather Elizabeth Morris, PA-C
• Mogeh Mozaffarian, DMD

• Acupuncturist in North Wales, PA
• Providers in North Wales, PA by specialty
• Acupuncturist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.