Individual provider Active NPI

Henry H Park, L.AC.

  • Acupuncturist
  • Norcross, GA
National Provider Identifier
1841328325
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
000169 Issued in GA
Practice address
5720 Buford Hwy Ste 205
Norcross, GA 30071-2574
Phone
(678) 927-5000
Fax
(770) 447-7557
NPI assigned
Feb 28, 2007
Last updated
Mar 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 000169 GA Primary
Acupuncturist 171100000X 000540 NY

Addresses

Primary practice location

5720 Buford Hwy Ste 205
Norcross, GA 30071-2574

Mailing address

5720 Buford Hwy Ste 205
Norcross, GA 30071-2574
Phone (678) 927-5000

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
000169GAMDAcupuncturist
000540NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1841328325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 BUFORD HWY STE 205",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712574",
            "telephone_number": "678-927-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 BUFORD HWY STE 205",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712574",
            "telephone_number": "678-927-5000",
            "fax_number": "770-447-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HENRY",
        "middle_name": "H",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "000169",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "000540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.