Individual provider Active NPI

Wenyao Shi, L.AC.

  • Acupuncturist
  • Falls Church, VA
National Provider Identifier
1760873178
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121000762 Issued in VA
Practice address
7635 Leesburg Pike
Suite a
Falls Church, VA 22043-2520
Phone
(571) 969-2684
Fax
(703) 893-8809
NPI assigned
Feb 8, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0121000762 VA Primary

Addresses

Primary practice location

7635 Leesburg Pike
Suite a
Falls Church, VA 22043-2520

Mailing address

7102 Sea Cliff Rd
MC Lean, VA 22101-5030
Phone (571) 969-2684

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

State licenses

LicenseStateTypeSpecialty
0121000762VAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1423353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1760873178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7102 SEA CLIFF RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015030",
            "telephone_number": "571-969-2684",
            "fax_number": "703-893-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7635 LEESBURG PIKE",
            "address_2": "SUITE A",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432520",
            "telephone_number": "571-969-2684",
            "fax_number": "703-893-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHI",
        "first_name": "WENYAO",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-08",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.