Organization Active NPI

Grace Acupuncture Clinic

  • Pain Clinic/Center
  • Kingwood, TX
National Provider Identifier
1669996492
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
AC01232 Issued in TX
Legal business name
GRACE ACUPUNCTURE CLINIC
Practice address
1525 Lakeville Dr
Kingwood, TX 77339-2067
Phone
(281) 671-7487
NPI assigned
Aug 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sang Eun Kim, L.AC.NPI 1639487739
Title
Owner
Phone
(281) 671-7487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X AC01232 TX Primary

Addresses

Primary practice location

1525 Lakeville Dr
Kingwood, TX 77339-2067

Mailing address

1525 Lakeville Dr
205
Kingwood, TX 77339-2067
Phone (281) 671-7487

National Provider Directory

National Provider Directory

Locations

1525 Lakeville Dr
Kingwood, TX 77339
Phone (281) 348-0821

1525 Lakeville Dr
Ste 205
Kingwood, TX 77339
Phone (281) 671-7487

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669996492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 LAKEVILLE DR",
            "address_2": "205",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392067",
            "telephone_number": "281-671-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 LAKEVILLE DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392067",
            "telephone_number": "281-671-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SANG EUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-671-7487",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "TX",
            "license": "AC01232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.