NPIMap

Organization Active NPI

Wang Medical, Inc.

  • Acupuncturist
  • Boise, ID
National Provider Identifier
1740301951
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU-37 Issued in ID
Legal business name
WANG MEDICAL, INC.
Practice address
3601 N Cole Rd
Boise, ID 83704-4410
Phone
(208) 321-7348
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Andrea D Wang
Title
Office Manager
Phone
(208) 321-7348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X ACU-37 ID Primary

Addresses

Primary practice location

3601 N Cole Rd
Boise, ID 83704-4410

Mailing address

PO Box 4654
Boise, ID 83711-4654
Phone (208) 321-7348

National Provider Directory

National Provider Directory

Locations

3601 N Cole Rd
Boise, ID 83704
Phone (208) 321-7348

Practitioners & affiliated clinicians

Practitioners 5

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740301951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4654",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837114654",
            "telephone_number": "208-321-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044410",
            "telephone_number": "208-321-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANG MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-321-7348"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "ACU-37",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.