NPIMap

Organization Active NPI

Rapha Acupuncture & Herbal Clinic

  • Acupuncturist
  • Ellicott City, MD
National Provider Identifier
1124692140
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
RAPHA ACUPUNCTURE & HERBAL CLINIC
Practice address
9455 Baltimore National Pike Ste B
Ellicott City, MD 21042-2812
Phone
(443) 535-7575
NPI assigned
May 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Authorized official

Name
Mrs. Jung Ah Kim, L.AC , OMDNPI 1710339601
Title
Director
Phone
(443) 535-7575

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

9455 Baltimore National Pike Ste B
Ellicott City, MD 21042-2812

Mailing address

9455 Baltimore National Pike Ste B
Ellicott City, MD 21042-2812
Phone (443) 535-7575

National Provider Directory

National Provider Directory

Locations

9455 Baltimore National Pike
Ste B
Ellicott City, MD 21042
Phone (443) 535-7575

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": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1124692140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9455 BALTIMORE NATIONAL PIKE STE B",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422812",
            "telephone_number": "443-535-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9455 BALTIMORE NATIONAL PIKE STE B",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422812",
            "telephone_number": "443-535-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA ACUPUNCTURE & HERBAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JUNG AH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-535-7575",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.AC , OMD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 14, 2021; 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.