Organization Active NPI

Wavy Acupuncture Inc

  • Acupuncturist
  • Marietta, GA
National Provider Identifier
1740058809
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
WAVY ACUPUNCTURE INC
Practice address
1000 Johnson Ferry Rd Ste B115
Marietta, GA 30068-2111
Phone
(770) 589-1233
NPI assigned
Dec 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Daniel Kim
Title
General Manager
Phone
(770) 589-1233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1000 Johnson Ferry Rd Ste B115
Marietta, GA 30068-2111

Mailing address

3976 Kingsley Park CT
Peachtree Corners, GA 30096-2434

Other names 1

  • VIVE Energy Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

1000 Johnson Ferry Rd
Ste B115
Marietta, GA 30068
Phone (770) 589-1233

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1740058809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3976 KINGSLEY PARK CT",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300962434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD STE B115",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682111",
            "telephone_number": "770-589-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVY ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "770-589-1233"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIVE Energy Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.