Individual provider Active NPI

Hsiao-Lan Chung, O.M.D.

  • Acupuncturist
  • Watauga, TX
National Provider Identifier
1689794844
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00957 Issued in TX
Practice address
8305 Whitley Rd
Ste a
Watauga, TX 76148-2483
Phone
(817) 583-8808
Fax
(817) 583-8808
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

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
AC00957TXMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
C & C Wellness Center, Inc. Acupuncturist Past Accepting new patients
Chung'S Family Healthcare Association Acupuncturist PastSince Jan 14, 2024 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00957 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

8305 Whitley Rd
Ste a
Watauga, TX 76148-2483

Mailing address

8305 Whitley Rd
Ste a
Watauga, TX 76148-2483
Phone (817) 583-8808

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
8M8488OtherTXBCBS OF TX
11789775OtherTXCAQH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 22, 2014.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1689794844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 WHITLEY RD",
            "address_2": "STE A",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761482483",
            "telephone_number": "817-583-8808",
            "fax_number": "817-583-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 WHITLEY RD",
            "address_2": "STE A",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761482483",
            "telephone_number": "817-583-8808",
            "fax_number": "817-583-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "HSIAO-LAN",
        "credential": "O.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "8M8488",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11789775",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watauga, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.