Active NPI
Jingyang NA, LAC
- Acupuncturist
- Kent, WA
National Provider Identifier
1902944481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00000435
- Practice address
- 1008 Central Ave N
Kent, WA 98032-3046 - Phone
- (253) 520-8800
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- No
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 | AC00000435 | WA | Primary |
Addresses
Primary practice location
1008 Central Ave N
Kent, WA 98032-3046
Mailing address
1008 Central Ave N
Kent, WA 98032-3046
Phone (206) 434-5929
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 |
|---|---|---|---|
| AC00000435 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountlake Acupuncture Corp. | Acupuncturist | Current | Accepting new patients |
Locations
1008 Central Ave N
Kent, WA 98032
Phone (206) 434-5929
Organizations & group practices 1
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": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594512000000",
"number": "1902944481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 CENTRAL AVE N",
"city": "KENT",
"state": "WA",
"postal_code": "980323046",
"telephone_number": "206-434-5929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 CENTRAL AVE N",
"city": "KENT",
"state": "WA",
"postal_code": "980323046",
"telephone_number": "253-520-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NA",
"first_name": "JINGYANG",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2020-07-12",
"certification_date": "2020-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC00000435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.