Grace Acupuncture and Oriental Medicine

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

GRACE ACUPUNCTURE AND ORIENTAL MEDICINE

Practice address

442 Marrett Rd Ste 6
Lexington, MA 02421-7749

Phone

(781) 861-0560

Fax

(781) 810-8799

NPI assigned

Mar 25, 2019

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Grace Seunghee Kim, LAC.NPI 1548547797

Title

President

Phone

(781) 861-0560

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grace Seunghee Kim, LIC.AC.

  • Acupuncturist
  • Lexington, MA
  • NPI 1548547797
  NPD (past) Authorized official

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1679033674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 MARRETT RD STE 6",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217749",
            "telephone_number": "781-861-0560",
            "fax_number": "781-810-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 MARRETT RD STE 6",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217749",
            "telephone_number": "781-861-0560",
            "fax_number": "781-810-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ACUPUNCTURE AND ORIENTAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "SEUNGHEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-861-0560",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCAOM",
            "identifier": "026496",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "250192",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Lexington, MA
• Providers in Lexington, MA by specialty
• Acupuncturist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.