Organization Active NPI

TK Health & Wellness LLC

Doing business as Mi Rae Acupuncture and East Asian Medicine

  • Acupuncturist
  • Bellevue, WA
National Provider Identifier
1710743075
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
TK HEALTH & WELLNESS LLC
Doing business as
Mi Rae Acupuncture and East Asian Medicine
Practice address
12721 NE Bel Red Rd Ste 130
Bellevue, WA 98005-2653
Phone
(425) 484-2548
NPI assigned
Feb 26, 2024
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Dr. Tae Ho Kim, DAC, EAMPNPI 1669175824
Title
Doctor of Acupuncture
Phone
(425) 770-1888

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

12721 NE Bel Red Rd Ste 130
Bellevue, WA 98005-2653

Mailing address

5830 119TH St SE
Snohomish, WA 98296-6967
Phone (425) 770-1888

Other names 1

  • Mi Rae Acupuncture and East Asian Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

12721 NE Bel Red Rd
Ste 130
Bellevue, WA 98005
Phone (425) 484-2548

Practitioners & affiliated clinicians

Practitioners 2

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": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1710743075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 119TH ST SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982966967",
            "telephone_number": "425-770-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12721 NE BEL RED RD STE 130",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052653",
            "telephone_number": "425-484-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TK HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TAE HO",
        "authorized_official_title_or_position": "DOCTOR OF ACUPUNCTURE",
        "authorized_official_telephone_number": "425-770-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAC, EAMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mi Rae Acupuncture and East Asian Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mi Rae Acupuncture and East Asian Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.