Panax Acupuncture and Regeneration Center, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

PANAX ACUPUNCTURE AND REGENERATION CENTER, LLC

Practice address

3461 Warrensville Center Rd Ste 101
Shaker Heights, OH 44122-5227

Phone

(440) 221-5362

NPI assigned

Sep 17, 2024

Organization subpart

No

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

Authorized official

Name

Junsik KimNPI 1841697315

Title

Ceo

Phone

(310) 745-4671

Specialties & licenses 1

Addresses

Other names 1

• Panax Acupuncture and Regeneration Center, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Junsik Kim, L.AC., DIPL. O.M.

  • Acupuncturist
  • Lyndhurst, OH
  • NPI 1841697315
  NPD Authorized official

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1992532626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32400 MONROE CT APT 108",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441395758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 WARRENSVILLE CENTER RD STE 101",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225227",
            "telephone_number": "440-221-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAX ACUPUNCTURE AND REGENERATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JUNSIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-745-4671"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panax Acupuncture and Regeneration Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Acupuncturist in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Acupuncturist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.