Active NPI
Shu Fan, ACUPUNCTURIST
- Acupuncturist
- Washington, DC
National Provider Identifier
1992039655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC500100
- Practice address
- 1712 I St NW Ste 410
Washington, DC 20006-3746 - Phone
- (703) 772-7592
- NPI assigned
- Sep 29, 2009
- Sex
- Male
- Sole proprietor
- No
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 | AC500100 | DC | Primary |
Addresses
Primary practice location
1712 I St NW Ste 410
Washington, DC 20006-3746
Mailing address
7106 Norwalk St
Falls Church, VA 22043-1517
Phone (703) 772-7592
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264739042 | Other | DC | ACUPUNCTURE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC500100 | DC | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1992039655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7106 NORWALK ST",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220431517",
"telephone_number": "703-772-7592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 I ST NW STE 410",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200063746",
"telephone_number": "703-772-7592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAN",
"first_name": "SHU",
"name_prefix": "Mr.",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "DC",
"license": "AC500100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE",
"identifier": "264739042",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.