Individual provider Active NPI

Dongcheul Kang

  • Acupuncturist
  • Wesley Chapel, FL
National Provider Identifier
1801287750
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 3615 Issued in FL
Practice address
2253 Green Hedges Way Ste 101
Wesley Chapel, FL 33544-6969
Phone
(813) 334-9694
NPI assigned
Feb 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 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 AP 3615 FL Primary

Addresses

Primary practice location

2253 Green Hedges Way Ste 101
Wesley Chapel, FL 33544-6969

Mailing address

1830 Montgomery Bell Rd
Wesley Chapel, FL 33543-7188
Phone (813) 334-9694

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
AP 3615FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Top Acupuncture & Herbs LLC Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1801287750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 MONTGOMERY BELL RD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335437188",
            "telephone_number": "813-334-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 GREEN HEDGES WAY STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446969",
            "telephone_number": "813-334-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "DONGCHEUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-13",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 3615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.