Organization Active NPI

Sung San Acupuncture LLC

Doing business as Holy Hill Acupuncture

  • Acupuncturist
  • Mesa, AZ
National Provider Identifier
1710729165
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SUNG SAN ACUPUNCTURE LLC
Doing business as
Holy Hill Acupuncture
Practice address
1933 W Main St Ste 1
Mesa, AZ 85201-6930
Phone
(480) 730-4991
Fax
(480) 946-3366
NPI assigned
Jun 7, 2024
Last updated
Jun 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Mr. Joshuah Sunggon Kim, L. AC.NPI 1821153271
Title
Owner/Acupuncturist
Phone
(480) 730-4991

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

1933 W Main St Ste 1
Mesa, AZ 85201-6930

Mailing address

1933 W Main St Ste 1
Mesa, AZ 85201-6930
Phone (480) 730-4991

Other names 1

  • Holy Hill Acupuncture Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1710729165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 W MAIN ST STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016930",
            "telephone_number": "480-730-4991",
            "fax_number": "480-946-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 W MAIN ST STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016930",
            "telephone_number": "480-730-4991",
            "fax_number": "480-946-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG SAN ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOSHUAH",
        "authorized_official_middle_name": "SUNGGON",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "480-730-4991",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L. AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Hill Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.