Individual provider Active NPI

David Murray Blaiwas, M. AC. L. AC.

  • Acupuncturist
  • Takoma Park, MD
National Provider Identifier
1083718514
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U00594 Issued in MD
Practice address
6935 Laurel Ave
Suite 203
Takoma Park, MD 20912-4413
Phone
(301) 270-2117
Fax
(301) 854-9950
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U00594 MD Primary

Addresses

Primary practice location

6935 Laurel Ave
Suite 203
Takoma Park, MD 20912-4413

Mailing address

6935 Laurel Ave
Suite 203
Takoma Park, MD 20912-4413
Phone (301) 270-2117

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
U00594MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083718514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 LAUREL AVE",
            "address_2": "SUITE 203",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124413",
            "telephone_number": "301-270-2117",
            "fax_number": "301-854-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6935 LAUREL AVE",
            "address_2": "SUITE 203",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124413",
            "telephone_number": "301-270-2117",
            "fax_number": "301-854-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIWAS",
        "first_name": "DAVID",
        "middle_name": "MURRAY",
        "name_prefix": "Mr.",
        "credential": "M. AC.  L. AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U00594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.