NPI Code Detail JSON Logo

1407063753 NPI number — ACU-MEDI PROFESSIONAL ASSOCIATE, PC

NPI Number: 1407063753
Health Care Provider/Practitioner: ACU-MEDI PROFESSIONAL ASSOCIATE, PC

Information about “1407063753” NPI (ACU-MEDI PROFESSIONAL ASSOCIATE, PC) exists in 1407063753 in HTML format HTML  |  1407063753 in plain Text format TXT  |  1407063753 in PDF (Portable Document Format) PDF  |  1407063753 in an XML format XML  formats.

NPI Number : 1407063753 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407063753",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ACU-MEDI PROFESSIONAL ASSOCIATE, PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7002 LITTLE RIVER TPKE",
    "SecondLineMailingAddress": "SUITE I",
    "MailingAddressCityName": "ANNANDALE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22003-3200",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-658-5100",
    "MailingAddressFaxNumber": "703-916-1717",
    "FirstLinePracticeLocationAddress": "7002 LITTLE RIVER TPKE",
    "SecondLinePracticeLocationAddress": "SUITE I",
    "PracticeLocationAddressCityName": "ANNANDALE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22003-3200",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-658-5100",
    "PracticeLocationAddressFaxNumber": "703-916-1717",
    "EnumerationDate": "05/17/2007",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "YI",
    "AuthorizedOfficialFirstName": "HYOK",
    "AuthorizedOfficialMiddleName": "CHAN",
    "AuthorizedOfficialTitle": "MEMBER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "L AC., PH D",
    "AuthorizedOfficialTelephoneNumber": "703-658-5100",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "0104555880",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "0121000325",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "AC5085",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "U01322",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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