Organization Active NPI

Dancing Crane Center of Chinese Medicine

  • Clinic/Center
  • Salem, VA
National Provider Identifier
1770967325
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0121000321 Issued in VA
Legal business name
DANCING CRANE CENTER OF CHINESE MEDICINE
Practice address
11 Library SQ
Salem, VA 24153-3846
Phone
(540) 444-1053
Fax
(540) 444-1054
NPI assigned
Jul 14, 2015
Last updated
Jul 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Authorized official

Name
Mr. Greg Johnston, L.AC
Title
Owner/Practinoner
Phone
(540) 444-1043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0121000321 VA Primary

Addresses

Primary practice location

11 Library SQ
Salem, VA 24153-3846

Mailing address

11 Library SQ
Salem, VA 24153-3846
Phone (540) 444-1053

National Provider Directory

National Provider Directory

Locations

11 Library Sq
Salem, VA 24153
Phone (540) 444-1053

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1770967325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LIBRARY SQ",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533846",
            "telephone_number": "540-444-1053",
            "fax_number": "540-444-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LIBRARY SQ",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533846",
            "telephone_number": "540-444-1053",
            "fax_number": "540-444-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANCING CRANE CENTER OF CHINESE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER/PRACTINONER",
        "authorized_official_telephone_number": "540-444-1043",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0121000321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.