Active NPI
Yong Qiao Luo, O.M.D.
- Acupuncturist
- Canton, GA
National Provider Identifier
1902154875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 000017
- Practice address
- 200 Oakside Lane
Suite D
Canton, GA 30114 - Phone
- (770) 720-1398
- NPI assigned
- Aug 26, 2012
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 000017 | GA | Primary |
Addresses
Primary practice location
200 Oakside Lane
Suite D
Canton, GA 30114
Mailing address
200 Oakside Lane
Suite D
Canton, GA 30114
Phone (770) 720-1398
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 |
|---|---|---|---|
| 000017 | GA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345939200000",
"number": "1902154875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OAKSIDE LANE",
"address_2": "SUITE D",
"city": "CANTON",
"state": "GA",
"postal_code": "30114",
"telephone_number": "770-720-1398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 OAKSIDE LANE",
"address_2": "SUITE D",
"city": "CANTON",
"state": "GA",
"postal_code": "30114",
"telephone_number": "770-720-1398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUO",
"first_name": "YONG",
"middle_name": "QIAO",
"name_prefix": "Dr.",
"credential": "O.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-26",
"last_updated": "2012-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "GA",
"license": "000017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.