Eden Health MD

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

EDEN HEALTH MD

Practice address

54 Scott Adam Rd Ste 106
Cockeysville, MD 21030-3351

Phone

(443) 202-0637

NPI assigned

Feb 7, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Edward Simmonds, L.AC

Title

Owner

Phone

(443) 202-0637

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1053017376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CASTLEBAR CT",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210931924",
            "telephone_number": "443-202-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SCOTT ADAM RD STE 106",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303351",
            "telephone_number": "443-202-0637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14C Scott Adam Rd",
            "address_purpose": "LOCATION",
            "city": "Cockeysville",
            "state": "MD",
            "postal_code": "210303217",
            "country_code": "US",
            "telephone_number": "443-202-0637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDEN HEALTH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "SIMMONDS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-202-0637",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Cockeysville, MD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.