NPIMap

Organization Active NPI

PK Wellness, LLC

Doing business as PK Acupuncture & Wellness

  • Acupuncturist
  • Austin, TX
National Provider Identifier
1891170171
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01223 Issued in TX
Legal business name
PK WELLNESS, LLC
Doing business as
PK Acupuncture & Wellness
Practice address
1011 W 11TH St
Austin, TX 78703-4931
Phone
(512) 650-8880
NPI assigned
Jul 28, 2015
Last updated
Jul 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Phyllis Kung, L.AC.NPI 1427377795
Title
Owner
Phone
(512) 650-8880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC01223 TX Primary

Addresses

Primary practice location

1011 W 11TH St
Austin, TX 78703-4931

Mailing address

1011 W 11TH St
Austin, TX 78703-4931
Phone (512) 650-8880

Other names 1

  • PK Acupuncture & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1011 W 11th St
Austin, TX 78703
Phone (512) 650-8880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1891170171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W 11TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034931",
            "telephone_number": "512-650-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W 11TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034931",
            "telephone_number": "512-650-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PK WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "KUNG",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-650-8880",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PK Acupuncture & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.