Individual provider Active NPI

Haochuan Li, OMD.,PHD, L.AC

  • Acupuncturist
  • Colleyville, TX
National Provider Identifier
1700111630
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC1029 Issued in TX
Practice address
4603 Colleyville Boulevard
Colleyville, TX 76034
Phone
(469) 952-8238
NPI assigned
Oct 9, 2009
Last updated
Oct 9, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC1029 TX Primary

Addresses

Primary practice location

4603 Colleyville Boulevard
Colleyville, TX 76034

Mailing address

3912 Lakeside Dr
The Colony, TX 75056-4120
Phone (469) 952-8238

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AC1029TXMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Acupuncture & Alternative Medicine Center,PLLC Acupuncturist Past Accepting new patients

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": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1700111630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 LAKESIDE DR",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750564120",
            "telephone_number": "469-952-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 COLLEYVILLE BOULEVARD",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "76034",
            "telephone_number": "469-952-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "HAOCHUAN",
        "name_prefix": "Dr.",
        "credential": "OMD.,PHD, L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC1029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.