Active NPI
Gang Peng, OMD, PH.D.
- Acupuncturist
- Rockville, MD
National Provider Identifier
1144379512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U01433
- Practice address
- 9711 Medical Center Dr Ste 114
Rockville, MD 20850-3323 - Phone
- (301) 340-8444
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U01433 | MD | Primary |
Addresses
Primary practice location
9711 Medical Center Dr Ste 114
Rockville, MD 20850-3323
Mailing address
11828 Appaloosa Way
North Potomac, MD 20878-3874
Phone (301) 340-8444
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U01433 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144379512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11828 APPALOOSA WAY",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "208783874",
"telephone_number": "301-340-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9711 MEDICAL CENTER DR STE 114",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503323",
"telephone_number": "301-340-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENG",
"first_name": "GANG",
"name_prefix": "Dr.",
"credential": "OMD, PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U01433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, 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.