Active NPI
Susan Willcox Dykeman, M.AC. L.AC.
- Acupuncturist
- Riverdale, MD
National Provider Identifier
1033376694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U01583
- Practice address
- 6801 Kenilworth Ave Ste 300
Riverdale, MD 20737-1331 - Phone
- (301) 717-8204
- NPI assigned
- May 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U01583 | MD | Primary |
Addresses
Primary practice location
6801 Kenilworth Ave Ste 300
Riverdale, MD 20737-1331
Mailing address
6508 Cardigan Road
Bethesda, MD 20817
Phone (301) 717-8204
Other names 1
- Susan Dykeman
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
| License | State | Type | Specialty |
|---|---|---|---|
| U01583 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1033376694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6508 CARDIGAN ROAD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20817",
"telephone_number": "301-717-8204",
"fax_number": "301-767-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 KENILWORTH AVE STE 300",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371331",
"telephone_number": "301-717-8204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYKEMAN",
"first_name": "SUSAN",
"middle_name": "WILLCOX",
"name_prefix": "Ms.",
"credential": "M.AC. L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U01583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "DYKEMAN",
"credential": "M.AC. L.AC.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Riverdale, MD
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- Emmerencia Duke
- Dynmed Primary Care and Wellness P. a
- Dynmed Primary Care and Wellness PA
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- East Pines Pharmacy LLC
- Edge Family Medicine LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.