Organization Active NPI

Youngshin Health LLC

  • Acupuncturist
  • Duluth, GA
National Provider Identifier
1992055198
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
000156 Issued in GA
Legal business name
YOUNGSHIN HEALTH LLC
Practice address
4855 River Green Pkwy
Suite 130
Duluth, GA 30096-8336
Phone
(678) 546-7777
NPI assigned
Sep 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Dr. Richard Young Shin Chung, O.M.D.
Title
Dr/Acupuncturist
Phone
(678) 548-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 000156 GA Primary

Addresses

Primary practice location

4855 River Green Pkwy
Suite 130
Duluth, GA 30096-8336

Mailing address

4855 River Green Pkwy
Suite 130
Duluth, GA 30096-8336
Phone (678) 546-7777

Other identifiers 1

IdentifierTypeStateIssuer
1063640944OtherGANPI

National Provider Directory

National Provider Directory

Locations

4855 River Green Pkwy
Ste 130
Duluth, GA 30096
Phone (678) 546-7777

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1992055198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 RIVER GREEN PKWY",
            "address_2": "SUITE 130",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968336",
            "telephone_number": "678-546-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 RIVER GREEN PKWY",
            "address_2": "SUITE 130",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968336",
            "telephone_number": "678-546-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGSHIN HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "YOUNG SHIN",
        "authorized_official_title_or_position": "DR/ACUPUNCTURIST",
        "authorized_official_telephone_number": "678-548-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.M.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "000156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063640944",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.