Individual provider Active NPI

Youn S Harroll, OMD

  • Acupuncturist
  • Las Vegas, NV
National Provider Identifier
1821200882
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11394 Issued in CA
Practice address
6376 Spring Mountain Rd Ste 6
Las Vegas, NV 89146-8818
Phone
(702) 888-1713
Fax
(702) 888-1713
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 2009 NV
Acupuncturist 171100000X P227606252
Acupuncturist 171100000X AC11394 CA Primary

Addresses

Primary practice location

6376 Spring Mountain Rd Ste 6
Las Vegas, NV 89146-8818

Mailing address

6376 Spring Mountain Rd Ste 6
Las Vegas, NV 89146-8818
Phone (702) 888-1713

Other identifiers 2

IdentifierTypeStateIssuer
C20170905-1319OtherNVNEVADA
C20170905-1319OtherNVNEVADA TAX ID NUMBER

Other names 1

  • Dr. Youn S Choi Other name

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
AC11394CAMDAcupuncturist
2009NVMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Joyhealth Acupuncture 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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1821200882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6376 SPRING MOUNTAIN RD STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468818",
            "telephone_number": "702-888-1713",
            "fax_number": "702-888-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6376 SPRING MOUNTAIN RD STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468818",
            "telephone_number": "702-888-1713",
            "fax_number": "702-888-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARROLL",
        "first_name": "YOUN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NV",
            "license": "2009",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": "P227606252",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA",
            "identifier": "C20170905-1319",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA TAX ID NUMBER",
            "identifier": "C20170905-1319",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOUN",
            "last_name": "CHOI",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "OMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.