Organization Active NPI

Penny S. Todd

  • Acupuncturist
  • Crofton, MD
National Provider Identifier
1154518496
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01046 Issued in MD
Legal business name
PENNY S. TODD
Practice address
2411 Crofton LN
Suite 17a
Crofton, MD 21114-1304
Phone
(410) 721-5742
Fax
(410) 982-6476
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Ms. Penny Stewart Todd, M.AC., L.AC.
Title
Acupuncturist
Phone
(410) 721-5742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X U01046 MD Primary

Addresses

Primary practice location

2411 Crofton LN
Suite 17a
Crofton, MD 21114-1304

Mailing address

2411 Crofton LN
Suite 17a
Crofton, MD 21114-1304
Phone (410) 721-5742

Other identifiers 2

IdentifierTypeStateIssuer
H829001OtherDCFEDERAL BCBS
0W75PSOtherMDBCBS

National Provider Directory

National Provider Directory

Locations

2411 Crofton Ln
Ste 17A
Crofton, MD 21114
Phone (410) 721-5742

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": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1154518496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 CROFTON LN",
            "address_2": "SUITE 17A",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141304",
            "telephone_number": "410-721-5742",
            "fax_number": "410-982-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 CROFTON LN",
            "address_2": "SUITE 17A",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141304",
            "telephone_number": "410-721-5742",
            "fax_number": "410-982-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNY S. TODD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "410-721-5742",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.AC., L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS",
            "identifier": "H829001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0W75PS",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.