NPIMap

Organization Active NPI

Soaring Spirit Acupuncture LLC

  • Acupuncturist
  • Laurel, MD
National Provider Identifier
1174060180
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02383 Issued in MD
Legal business name
SOARING SPIRIT ACUPUNCTURE LLC
Practice address
7750 Montpelier Rd
Laurel, MD 20723-6010
Phone
(612) 888-7721
NPI assigned
Jan 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Kachina L Smith, L.AC.NPI 1306361316
Title
Owner/Licensed Acupuncturist
Phone
(612) 888-7721

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 U02383 MD Primary

Addresses

Primary practice location

7750 Montpelier Rd
Laurel, MD 20723-6010

Mailing address

3401 24TH Ave
Temple Hills, MD 20748-2841
Phone (301) 580-1411

National Provider Directory

National Provider Directory

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": "1485561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1174060180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 24TH AVE",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207482841",
            "telephone_number": "301-580-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 MONTPELIER RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207236010",
            "telephone_number": "612-888-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOARING SPIRIT ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-28",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KACHINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "612-888-7721",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.