Individual provider Active NPI

Bo Zhuang, ACUPUNCTURIST

  • Acupuncturist
  • Rockford, IL
National Provider Identifier
1699938670
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.000709 Issued in IL
Practice address
109 N Alpine Rd
101
Rockford, IL 61107-4901
Phone
(779) 423-1700
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198000709 IL
Acupuncturist 171100000X 198.000709 IL Primary

Addresses

Primary practice location

109 N Alpine Rd
101
Rockford, IL 61107-4901

Mailing address

860 Falcon Point PL
Rockton, IL 61072-3302
Phone (815) 608-1000

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
198.000709ILMDAcupuncturist
198000709ILMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1699938670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 FALCON POINT PL",
            "city": "ROCKTON",
            "state": "IL",
            "postal_code": "610723302",
            "telephone_number": "815-608-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N ALPINE RD",
            "address_2": "101",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074901",
            "telephone_number": "779-423-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHUANG",
        "first_name": "BO",
        "name_prefix": "Mrs.",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198000709",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.