Individual provider Active NPI

Yan Hoi Ting, LAC

  • Acupuncturist
  • Brookfield, CT
National Provider Identifier
1972837060
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
515 Issued in CT
Practice address
52 Huckleberry Hill Rd
Brookfield, CT 06804-2211
Phone
(203) 558-6169
NPI assigned
Sep 23, 2009
Last updated
Mar 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 515 CT Primary

Addresses

Primary practice location

52 Huckleberry Hill Rd
Brookfield, CT 06804-2211

Mailing address

115 Pocono Rd
950
Brookfield, CT 06804-9998
Phone (203) 558-6169

Other identifiers 1

IdentifierTypeStateIssuer
1972837060MedicaidCT

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
515CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bethel Holistic Health Acupuncturist Current Accepting new patients
Alpha Acupuncture, LLC Acupuncturist CurrentSince Oct 11, 2020 Accepting new patients
Patricia Cheung, LLC Acupuncturist CurrentSince Oct 25, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1972837060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 POCONO RD",
            "address_2": "950",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068049998",
            "telephone_number": "203-558-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 HUCKLEBERRY HILL RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042211",
            "telephone_number": "203-558-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TING",
        "first_name": "YAN",
        "middle_name": "HOI",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972837060",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.