Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891225595 Individual Practitioner Male Practitioner

Tae Hoon Ji , LAC

Acupuncturist • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Tae Ji, LAC is a registered healthcare professional specializing in Acupuncturist in Mesa, AZ. Practice services are available at 1933 W MAIN ST STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1933 W Main St Ste 1

Mesa, AZ 852016930

Telephone 4807304991
Fax 4809463366
Associated Practice Facility / Clinic
🏢 Pathway Health & Wellness Llc Facility NPI 1376220368

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
40 Specialists

Practicing in Mesa, AZ (601 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License AZ 1074

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Acupuncture
283 (AZ)

Secondary Practice Locations

1721 E Warner Rd # C2

Tempe, AZ 852844555

Phone: 4808578911

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1114069630

Licensed Acupuncturist

NPI 1467788331

Licensed Acupuncturist

NPI 1588398309

Doctor of Philosophy (Ph.D.), Licensed Acupuncturist

Joshuah Kim , LAC

Acupuncturist

NPI 1821153271

Licensed Acupuncturist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active August 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2017

Registered at 1933 W MAIN ST STE 1, MESA, AZ 852016930 (Tel: (480) 730-4991)

📍
Updated Business Mailing Address August 12, 2017

Registered at 1933 W MAIN ST STE 1, MESA, AZ 852016930 (Tel: (480) 730-4991)

👤
Provider Name / Credentials Updated August 12, 2017

Recorded as TAE JI, L.AC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2017

Acupuncturist (License #1074 in AZ)

NPI Profile Active July 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2017

Registered at 1933 W MAIN ST STE 1, MESA, AZ 852016930 (Tel: (480) 730-4991)

📍
Updated Business Mailing Address July 05, 2017

Registered at 1933 W MAIN ST STE 1, MESA, AZ 852016930 (Tel: 4807304991)

👤
Provider Name / Credentials Updated July 05, 2017

Recorded as TAE JI, L.AC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2017

Acupuncturist (License #1074 in AZ)

🟢
Initial NPI Registration & Enumeration June 14, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Tae Ji. Be the first to share your experience!

Sign in to leave a review for Tae Ji

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1891225595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2017
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

1933 W Main St Ste 1

Mesa, AZ 852016930

Phone: 4807304991

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.