Individual provider Active NPI

Kwan Chong, M.DIV.

  • Acupuncturist
  • Arlington Heights, IL
National Provider Identifier
1881964609
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.000121 Issued in IL
Practice address
342 E Golf Rd
Arlington Heights, IL 60005-4008
Phone
(847) 702-3799
NPI assigned
Jan 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.000121 IL Primary

Addresses

Primary practice location

342 E Golf Rd
Arlington Heights, IL 60005-4008

Mailing address

342 E Golf Rd
Arlington Heights, IL 60005-4008
Phone (847) 702-3799

Other identifiers 1

IdentifierTypeStateIssuer
198.000121MedicaidIL

Other names 1

  • Mr. David Chong Professional 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
198.000121ILMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1881964609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 E GOLF RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054008",
            "telephone_number": "847-702-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 E GOLF RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054008",
            "telephone_number": "847-702-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "KWAN",
        "name_prefix": "Mr.",
        "credential": "M.DIV.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198.000121",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "CHONG",
            "prefix": "MR.",
            "credential": "L.AC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.