Inova-SPH Institute of Traditional Chinese Medicine LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

INOVA-SPH INSTITUTE OF TRADITIONAL CHINESE MEDICINE LLC

Practice address

3833 North Fairfax Drive
Arlington, VA 22203

Phone

(571) 665-6700

NPI assigned

Jan 19, 2018

Organization subpart

No

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

Authorized official

Name

James Santry

Title

Executive Vice President

Phone

(703) 289-2024

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1922516343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 GATEHOUSE RD STE 200E",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 NORTH FAIRFAX DRIVE",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22203",
            "telephone_number": "571-665-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INOVA-SPH INSTITUTE OF TRADITIONAL CHINESE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "SANTRY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "703-289-2024"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171100000X",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Arlington, VA
• Providers in Arlington, VA by specialty
• Acupuncturist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.