NPIMap

Organization Active NPI

39 Minute Workout

  • Acupuncturist
  • Ellicott City, MD
National Provider Identifier
1134645468
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
39 MINUTE WORKOUT
Practice address
8001 Hillsborough Rd Ste Ij
Ellicott City, MD 21043-6872
Phone
(410) 935-0967
NPI assigned
Aug 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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

Authorized official

Name
David Beares, LAC
Title
Owner
Phone
(301) 758-4110

Specialties & licenses 1

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

Addresses

Primary practice location

8001 Hillsborough Rd Ste Ij
Ellicott City, MD 21043-6872

Mailing address

8001 Hillsborough Rd Ste Ij
Ellicott City, MD 21043-6872

National Provider Directory

National Provider Directory

Locations

8001 Hillsborough Rd
Ste Ij
Ellicott City, MD 21043
Phone (301) 758-4110

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": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503014400000",
    "number": "1134645468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 HILLSBOROUGH RD STE IJ",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 HILLSBOROUGH RD STE IJ",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436872",
            "telephone_number": "410-935-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "39 MINUTE WORKOUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-18",
        "status": "A",
        "authorized_official_last_name": "BEARES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-758-4110",
        "authorized_official_credential": "LAC"
    },
    "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 Aug 18, 2017; 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.