Organization Active NPI

Lakefront Acupuncture Clinic, LLC

  • Occupational Therapist
  • Shakopee, MN
National Provider Identifier
1922278829
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1270 Issued in MN
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

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Ms. Xianhui Joyce Yang, L.ACNPI 1942407804
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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.