MEDICARE: JOSEPH SHININ CHA L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	198.000977	IL
2	171100000X	Acupuncturist	AC01609	TX
3	171100000X	Acupuncturist	AC 11621	CA
4	171100000X	Acupuncturist	0121000589	VA

General Provider Information

NPI Number	:	1932300902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH SHININ CHA L.AC.

Provider Business Mailing Address
First Line	:	2201 LONG PRAIRIE RD STE 107
Second Line	:	PMB 713
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022
Country	:	US
Telephone Number	:	972-417-1707
Fax Number	:	972-692-5456

Provider Business Practice Location Address
First Line	:	2727 LYNDON B JOHNSON FWY STE 406
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-7339
Country	:	US
Telephone Number	:	972-417-1707
Fax Number	:	972-692-5456

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	03/03/2026

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