Organization Active NPI

Grace Family Acupuncture LLC

  • Acupuncturist
  • Overland Park, KS
National Provider Identifier
1689450736
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
GRACE FAMILY ACUPUNCTURE LLC
Practice address
8600 W 95TH St Ste 212B
Overland Park, KS 66212-3240
Phone
(620) 363-1685
NPI assigned
Sep 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Yang Gong, DACNPI 1780128017
Title
Manager
Phone
(508) 808-8878

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

8600 W 95TH St Ste 212B
Overland Park, KS 66212-3240

Mailing address

8600 W 95TH St Ste 212B
Overland Park, KS 66212-3240
Phone (620) 363-1685

Other practice location 1

204 S Buckeye St
Iola, KS 66749-3302
Phone (620) 363-1685

Other names 1

  • YANG GONG MBR Former legal business name

National Provider Directory

National Provider Directory

Locations

8600 W 95th St
Ste 212B
Overland Park, KS 66212
Phone (620) 363-1685

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": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1689450736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 W 95TH ST STE 212B",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123240",
            "telephone_number": "620-363-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 W 95TH ST STE 212B",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123240",
            "telephone_number": "620-363-1685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 S Buckeye St",
            "address_purpose": "LOCATION",
            "city": "Iola",
            "state": "KS",
            "postal_code": "667493302",
            "country_code": "US",
            "telephone_number": "620-363-1685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACE FAMILY ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "GONG",
        "authorized_official_first_name": "YANG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-808-8878",
        "authorized_official_credential": "DAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YANG GONG MBR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "YANG GONG MBR",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.