Individual provider Active NPI

Wenjin Li, LAC

  • Acupuncturist
  • Bridgeville, PA
National Provider Identifier
1902304397
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AK001106 Issued in PA
Practice address
300 Old Pond Rd Ste 201
Bridgeville, PA 15017-1270
Phone
(412) 220-7323
Fax
(412) 220-7325
NPI assigned
Jan 31, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AK001106 PA Primary

Addresses

Primary practice location

300 Old Pond Rd Ste 201
Bridgeville, PA 15017-1270

Mailing address

300 Old Pond Rd Ste 201
Bridgeville, PA 15017-1270
Phone (412) 220-7323

Other identifiers 1

IdentifierTypeStateIssuer
AK001106OtherPADEPARTMENT OF STATE

Other names 1

  • Mark Li Other 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
AK001106PAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Ravi Kant, MD PC Past Accepting new patients
Ravi Kant, MD PC PastSince Sep 19, 2009 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1902304397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OLD POND RD STE 201",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171270",
            "telephone_number": "412-220-7323",
            "fax_number": "412-220-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD POND RD STE 201",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171270",
            "telephone_number": "412-220-7323",
            "fax_number": "412-220-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "WENJIN",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK001106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF STATE",
            "identifier": "AK001106",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "LI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.