Active NPI
Haiming Yang
- Massage Therapist
- Spring Lake, NC
National Provider Identifier
1831883313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 21100
- Practice address
- 704 Goodyear Dr
Spring Lake, NC 28390-3014 - Phone
- (646) 678-7830
- NPI assigned
- Jun 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 21100 | NC | Primary |
Addresses
Primary practice location
704 Goodyear Dr
Spring Lake, NC 28390-3014
Mailing address
704 Goodyear Dr
Spring Lake, NC 28390-3014
Phone (646) 678-7830
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 |
|---|---|---|---|
| 21100 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1831883313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 GOODYEAR DR",
"city": "SPRING LAKE",
"state": "NC",
"postal_code": "283903014",
"telephone_number": "646-678-7830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 GOODYEAR DR",
"city": "SPRING LAKE",
"state": "NC",
"postal_code": "283903014",
"telephone_number": "646-678-7830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "HAIMING",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-07",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "21100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Lake, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.