Active NPI
Deokho Kim, DIPL. AC
- Acupuncturist
- Columbia, MD
National Provider Identifier
1164307864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U03230
- Practice address
- 5840 Banneker Rd Ste 220
Columbia, MD 21044-3169 - Phone
- (240) 753-0085
- Fax
- (240) 388-9113
- NPI assigned
- Aug 11, 2025
- Sex
- Unspecified or another gender identity
- 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 | U03230 | MD | Primary |
Addresses
Primary practice location
5840 Banneker Rd Ste 220
Columbia, MD 21044-3169
Mailing address
10773 Folkestone Way
Woodstock, MD 21163-1313
Phone (215) 272-8523
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U03230 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1164307864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10773 FOLKESTONE WAY",
"city": "WOODSTOCK",
"state": "MD",
"postal_code": "211631313",
"telephone_number": "215-272-8523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5840 BANNEKER RD STE 220",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443169",
"telephone_number": "240-753-0085",
"fax_number": "240-388-9113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DEOKHO",
"name_prefix": "Dr.",
"credential": "DIPL. AC",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-08-11",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U03230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.