Justin Kendall Joe, L.AC., DIPL.O.M.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC02063 Issued in TX

Practice address

151 Kirkham Cir
Kyle, TX 78640-9703

Phone

(512) 387-5308

NPI assigned

Jan 26, 2022

Last updated

Sep 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acorus Integrative Medicine PLLC

  • Acupuncturist
  • Kyle, TX
  • NPI 1043937030
  NPD Authorized official

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1962154385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 4000",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "512-387-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 KIRKHAM CIR",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786409703",
            "telephone_number": "512-387-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOE",
        "first_name": "JUSTIN",
        "middle_name": "KENDALL",
        "name_prefix": "Mr.",
        "credential": "L.AC., DIPL.O.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC02063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra D Jaranilla, RBT
• Kristin Jarzombek, M.D.
• Kathryn Deanna Jeanson
• Jennifer Aiello Jesko, D.D.S.
• Joangela Jimenez
• Alyssa Leigh Johnson
• Anelise Elida Johnson
• Catherine Johnson
• Jordan Johnson
• Kelly M Johnson, LVN

• Acupuncturist in Kyle, TX
• Providers in Kyle, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.