Active NPI
Jin Young Song
- Acupuncturist
- Houston, TX
National Provider Identifier
1922706431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00527
- Practice address
- 1111 Gessner Rd Ste A1
Houston, TX 77055-6041 - Phone
- (713) 365-9669
- NPI assigned
- Feb 23, 2023
- Last updated
- May 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | AC00527 | TX | Primary |
Addresses
Primary practice location
1111 Gessner Rd Ste A1
Houston, TX 77055-6041
Mailing address
1111 Gessner Rd Ste A1
Houston, TX 77055-6041
Phone (713) 365-9669
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC00527 | TX | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683331200000",
"number": "1922706431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 GESSNER RD STE A1",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770556041",
"telephone_number": "713-365-9669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 GESSNER RD STE A1",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770556041",
"telephone_number": "713-365-9669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "JIN YOUNG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-23",
"last_updated": "2023-05-06",
"certification_date": "2023-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TX",
"license": "AC00527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.