Mio Hamasaki, D.O.M., L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0121001105 Issued in VA

Practice address

9667 Main St.
Suite B
Fairfax, VA 22031

Phone

(703) 672-1232

NPI assigned

Aug 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mio Harada Former name

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.

• Iris Wellness Clinic, LLC

  • Acupuncturist
  • Fairfax, VA
  • NPI 1982387197
  NPD Authorized official

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1679256879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9667 MAIN ST.",
            "address_2": "SUITE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9667 MAIN ST.",
            "address_2": "SUITE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-672-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMASAKI",
        "first_name": "MIO",
        "credential": "D.O.M., L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121001105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIO",
            "last_name": "HARADA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Halligan, OTR/L
• Robert M Hallivis, DPM
• Elizabeth Halmon
• Elizabeth B Halper, PH. D.
• Samuel Saeho Ham, DDS
• Kristen E Hami
• Layth Hamid, DMD
• Abdul Wahid Hamidi
• Chel'Le Lachon Hamilton I
• John F. Hamilton, M.D., PHD

• Acupuncturist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Acupuncturist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.