Organization Active NPI

Bethesda Prime Acupuncture

  • Acupuncturist
  • Bethesda, MD
National Provider Identifier
1053173765
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BETHESDA PRIME ACUPUNCTURE
Practice address
5620 Shields Dr
Bethesda, MD 20817-3532
Phone
(301) 530-0461
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Seung Woo PaikNPI 1023704822
Title
Owner
Phone
(301) 633-2166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

5620 Shields Dr
Bethesda, MD 20817-3532

Mailing address

5620 Shields Dr
Bethesda, MD 20817-3532

Other names 1

  • Primelife Acupuncture Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1053173765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 SHIELDS DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 SHIELDS DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173532",
            "telephone_number": "301-530-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA PRIME ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "PAIK",
        "authorized_official_first_name": "SEUNG WOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-633-2166"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primelife Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.