Individual provider Active NPI

Greg Shim, L.AC., DIPL.O.M.

  • Acupuncturist
  • Castle Rock, CO
National Provider Identifier
1992767743
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU-1007 Issued in CO
Practice address
1 Oakwood Park PLZ
Suite #106
Castle Rock, CO 80104-1882
Phone
(303) 660-4357
Fax
(303) 660-4351
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU-1007 CO Primary

Addresses

Primary practice location

1 Oakwood Park PLZ
Suite #106
Castle Rock, CO 80104-1882

Mailing address

1 Oakwood Park PLZ
Suite #106
Castle Rock, CO 80104-1882
Phone (303) 660-4357

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
ACU-1007COMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1992767743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OAKWOOD PARK PLZ",
            "address_2": "SUITE #106",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041882",
            "telephone_number": "303-660-4357",
            "fax_number": "303-660-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OAKWOOD PARK PLZ",
            "address_2": "SUITE #106",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041882",
            "telephone_number": "303-660-4357",
            "fax_number": "303-660-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIM",
        "first_name": "GREG",
        "credential": "L.AC., DIPL.O.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU-1007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.