NPIMap

Individual provider Active NPI

Drew M Smith

  • Acupuncturist
  • College Park, MD
National Provider Identifier
1073786307
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
M02492 Issued in MD
Practice address
9809 Rhode Island Ave
College Park, MD 20740-1423
Phone
(301) 220-1930
Fax
(301) 220-1906
NPI assigned
Apr 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X M02492 MD Primary

Addresses

Primary practice location

9809 Rhode Island Ave
College Park, MD 20740-1423

Mailing address

9809 Rhode Island Ave
College Park, MD 20740-1423
Phone (301) 220-1930

Other identifiers 1

IdentifierTypeStateIssuer
M02492OtherMDLICENSE

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

LicenseStateTypeSpecialty
M02492MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Terrapin Care Centers LLC Past Accepting new patients
Terrapin Chiropractic Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1073786307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9809 RHODE ISLAND AVE",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401423",
            "telephone_number": "301-220-1930",
            "fax_number": "301-220-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9809 RHODE ISLAND AVE",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401423",
            "telephone_number": "301-220-1930",
            "fax_number": "301-220-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DREW",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "M02492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "M02492",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.