Active NPI
Kristin Shouhwa Chen, DA LAC
- Acupuncturist
- San Antonio, TX
National Provider Identifier
1790897098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00470
- Practice address
- 15600 San Pedro
Suite 307
San Antonio, TX 78232 - Phone
- (210) 496-0936
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00470 | TX | Primary |
| Acupuncturist | 171100000X | DA00166 | RI |
Addresses
Primary practice location
15600 San Pedro
Suite 307
San Antonio, TX 78232
Mailing address
2827 Rocky Oak St
San Antonio, TX 78232-1839
Phone (210) 496-3943
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11487288 | Other | CAQH | |
| 0017LQ | Other | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DA00166 | RI | MD | Acupuncturist |
| AC00470 | TX | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790897098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2827 ROCKY OAK ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321839",
"telephone_number": "210-496-3943",
"fax_number": "210-496-3943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15600 SAN PEDRO",
"address_2": "SUITE 307",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78232",
"telephone_number": "210-496-0936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "KRISTIN",
"middle_name": "SHOUHWA",
"credential": "DA LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TX",
"license": "AC00470",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "RI",
"license": "DA00166",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11487288",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0017LQ",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.