Deuk Bong Kong

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

96269 Issued in WV

Practice address

445 E Main St
Kingwood, WV 26537-1701

Phone

(681) 461-2604

NPI assigned

Oct 9, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• See Um Acupuncture & Herbal Clinic, PLLC

  • Acupuncturist
  • Kingwood, WV
  • NPI 1801763396
  NPD Authorized official

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1821963646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E MAIN ST",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371701",
            "telephone_number": "681-461-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E MAIN ST",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371701",
            "telephone_number": "681-461-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "DEUK",
        "middle_name": "BONG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WV",
            "license": "96269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingwood SNF LLC
• Diane Knotts
• Leona Knotts
• Maria Knotts
• Nicole Knotts
• Kimberly Dawn Lamar
• Leticia Renee' Lambert
• Richelle Ann Layman
• Susan Marie Layne
• Courtney Layton, AGACNP-BC

• Acupuncturist in Kingwood, WV
• Providers in Kingwood, WV by specialty
• Acupuncturist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.