Evergreen Natural Healing Acupuncture and Wellness Clinic LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

EVERGREEN NATURAL HEALING ACUPUNCTURE AND WELLNESS CLINIC LLC

Practice address

440 Cobia Dr Ste 1104
Katy, TX 77494-7159

Phone

(832) 866-2501

NPI assigned

Nov 29, 2021

Organization subpart

No

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

Authorized official

Name

Dong CaoNPI 1790150910

Title

Owner

Phone

(832) 866-2501

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Dong Cao, L.AC

  • Acupuncturist
  • Katy, TX
  • NPI 1790150910
  NPD Authorized official

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1790443539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 COBIA DR STE 1104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947159",
            "telephone_number": "832-866-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 COBIA DR STE 1104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947159",
            "telephone_number": "832-866-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN NATURAL HEALING ACUPUNCTURE AND WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "CAO",
        "authorized_official_first_name": "DONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-866-2501"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Katy, TX
• Providers in Katy, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.