Individual provider Active NPI

Moon Suk Choi, DR

  • Acupuncturist
  • Montgomery, AL
National Provider Identifier
1689175275
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
110003 Issued in AL
Practice address
1759 Eastern Blvd
Montgomery, AL 36117-1619
Phone
(334) 593-7544
Fax
(334) 593-8588
NPI assigned
Feb 28, 2018
Last updated
Feb 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 110003 AL Primary

Addresses

Primary practice location

1759 Eastern Blvd
Montgomery, AL 36117-1619

Mailing address

1759 Eastern Blvd
Montgomery, AL 36117-1619
Phone (334) 593-7544

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherALNA

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

LicenseStateTypeSpecialty
110003ALMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Moon's Acupuncture Acupuncturist CurrentSince May 9, 2021 Accepting new patients

Locations

1759 Eastern Blvd
Montgomery, AL 36117
Phone (334) 593-7544

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1689175275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 EASTERN BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361171619",
            "telephone_number": "334-593-7544",
            "fax_number": "334-593-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 EASTERN BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361171619",
            "telephone_number": "334-593-7544",
            "fax_number": "334-593-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "MOON SUK",
        "credential": "DR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AL",
            "license": "110003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.