Organization Active NPI

Nova Training Center Clinic

  • Acupuncturist
  • Centreville, VA
National Provider Identifier
1760935084
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121000779 Issued in VA
Legal business name
NOVA TRAINING CENTER CLINIC
Practice address
14701 Lee Hwy
Suite 306
Centreville, VA 20121-2137
Phone
(703) 266-2220
NPI assigned
Aug 3, 2016
Last updated
Aug 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Dae Hyung KimNPI 1023561339
Title
Chair
Phone
(703) 203-5666

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
Acupuncturist 171100000X 0121000779 VA Primary

Addresses

Primary practice location

14701 Lee Hwy
Suite 306
Centreville, VA 20121-2137

Mailing address

14701 Lee Hwy
Suite 306
Centreville, VA 20121-2137
Phone (703) 266-2220

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": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1760935084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 LEE HWY",
            "address_2": "SUITE 306",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212137",
            "telephone_number": "703-266-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 LEE HWY",
            "address_2": "SUITE 306",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212137",
            "telephone_number": "703-266-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA TRAINING CENTER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAE HYUNG",
        "authorized_official_title_or_position": "CHAIR",
        "authorized_official_telephone_number": "703-203-5666"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.