Active NPI
David K Kim, AC
- Acupuncturist
- Glen Burnie, MD
National Provider Identifier
1033546379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U01227
- Practice address
- 1412 Crain Hwy N
7A
Glen Burnie, MD 21061-9306 - Phone
- (410) 761-2988
- Fax
- (410) 761-9548
- NPI assigned
- Oct 1, 2013
- Sex
- Male
- 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 | U01227 | MD | Primary |
Addresses
Primary practice location
1412 Crain Hwy N
7A
Glen Burnie, MD 21061-9306
Mailing address
1412 Crain Hwy N
7A
Glen Burnie, MD 21061-9306
Phone (410) 761-2988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12594591 | Other | MD | CAQH |
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 |
|---|---|---|---|
| U01227 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1033546379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 CRAIN HWY N",
"address_2": "7A",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210619306",
"telephone_number": "410-761-2988",
"fax_number": "410-761-9548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 CRAIN HWY N",
"address_2": "7A",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210619306",
"telephone_number": "410-761-2988",
"fax_number": "410-761-9548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DAVID",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-01",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U01227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12594591",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.