NPIMap

Organization Active NPI

Miracle Healing Acupuncture

  • Acupuncturist
  • Ellicott City, MD
National Provider Identifier
1124526181
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
MIRACLE HEALING ACUPUNCTURE
Practice address
5052 Dorsey Hall Dr
Ellicott City, MD 21042-7750
Phone
(443) 303-6946
NPI assigned
Jan 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Dr. Henry Kim, DAC.NPI 1588850341
Title
Dipl. Ac., Dac.
Phone
(443) 303-6946

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary
Health Service Clinic/Center 261QH0100X U02470 MD

Addresses

Primary practice location

5052 Dorsey Hall Dr
Ellicott City, MD 21042-7750

Mailing address

5006 Montgomery Rd
Ellicott City, MD 21043-6719
Phone (516) 851-7601

Other practice location 1

5006 Montgomery Rd
Ellicott City, MD 21043-6719
Phone (516) 851-7601

Other identifiers 1

IdentifierTypeStateIssuer
U02470OtherMDSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

5052 Dorsey Hall Dr
Ellicott City, MD 21042
Phone 4108341714 ext. 2

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": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1124526181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 MONTGOMERY RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436719",
            "telephone_number": "516-851-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5052 DORSEY HALL DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427750",
            "telephone_number": "443-303-6946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5006 Montgomery Rd",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210436719",
            "country_code": "US",
            "telephone_number": "516-851-7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIRACLE HEALING ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "DIPL. AC., DAC.",
        "authorized_official_telephone_number": "443-303-6946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "U02470",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "U02470",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.