Active NPI
Lakefront Acupuncture Clinic, LLC
- Occupational Therapist
- Shakopee, MN
National Provider Identifier
1922278829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1270
- Legal business name
- LAKEFRONT ACUPUNCTURE CLINIC, LLC
- Practice address
- 1644 Liberty St
Shakopee, MN 55379-4595 - Phone
- (952) 200-1246
- NPI assigned
- Mar 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Xianhui Joyce Yang, L.AC
- Title
- Chief Manager
- Phone
- (952) 200-1246
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1270 | MN | Primary |
Addresses
Primary practice location
1644 Liberty St
Shakopee, MN 55379-4595
Mailing address
1644 Liberty St
Shakopee, MN 55379-4595
Phone (952) 200-1246
Other names 1
- Lakefront Acupuncture and Chinese Medicine Clinic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Shakopee, MN
- NPI 1942407804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204761600000",
"number": "1922278829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1644 LIBERTY ST",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553794595",
"telephone_number": "952-200-1246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1644 LIBERTY ST",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553794595",
"telephone_number": "952-200-1246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEFRONT ACUPUNCTURE CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-06",
"last_updated": "2008-03-06",
"status": "A",
"authorized_official_last_name": "YANG",
"authorized_official_first_name": "XIANHUI",
"authorized_official_middle_name": "JOYCE",
"authorized_official_title_or_position": "CHIEF MANAGER",
"authorized_official_telephone_number": "952-200-1246",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "L.AC"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "MN",
"license": "1270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakefront Acupuncture and Chinese Medicine Clinic",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.