NPIMap

Organization Active NPI

Virginia University of Integrative Medicine

  • Acupuncturist
  • Fairfax, VA
National Provider Identifier
1891447488
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
VIRGINIA UNIVERSITY OF INTEGRATIVE MEDICINE
Practice address
9401 Mathy Dr
Fairfax, VA 22031-5310
Phone
(703) 323-5691
NPI assigned
Jan 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Mikyoung KimNPI 1548974892
Title
Acupuncturist
Phone
(240) 477-2979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9401 Mathy Dr
Fairfax, VA 22031-5310

Mailing address

9401 Mathy Dr
Fairfax, VA 22031-5310
Phone (703) 323-5691

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1891447488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 MATHY DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315310",
            "telephone_number": "703-323-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 MATHY DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315310",
            "telephone_number": "703-323-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA UNIVERSITY OF INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MIKYOUNG",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "240-477-2979"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.