Wang Acupuncture Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WANG ACUPUNCTURE CLINIC

Practice address

12627 San Jose Blvd Ste 201
Jacksonville, FL 32223-8638

Phone

(904) 437-5203

Fax

(904) 374-5354

NPI assigned

Oct 30, 2020

Organization subpart

No

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

Authorized official

Name

Roger X Wang, L. AC.NPI 1588023626

Title

Manager

Phone

(904) 607-5355

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Roger Xin Wang, L. AC

  • Acupuncturist
  • Jacksonville, FL
  • NPI 1588023626
  NPD Authorized official

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1912507765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12627 SAN JOSE BLVD STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238638",
            "telephone_number": "904-437-5203",
            "fax_number": "904-374-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12627 SAN JOSE BLVD STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238638",
            "telephone_number": "904-437-5203",
            "fax_number": "904-374-5354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1738 Emerson St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322076106",
            "country_code": "US",
            "telephone_number": "904-396-0898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1426 Lime St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320344461",
            "country_code": "US",
            "telephone_number": "904-909-8468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WANG ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-607-5355",
        "authorized_official_credential": "L. AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramonda Walton
• Robert Scott Walton, PH.D.
• Muiruri George Wamae
• Herbert Wan, PHARMD
• Kara Beth Wanchick, M.D.
• Amin Wang, DO
• Benjamin Wang, MD
• Chunxia Wang
• Crystal Wang, D.O.
• Jing Wang

• Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.