Organization Active NPI

Maryland Center for Chinese Medicine LLC

  • Acupuncturist
  • Westminster, MD
National Provider Identifier
1184035859
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02145 Issued in MD
Legal business name
MARYLAND CENTER FOR CHINESE MEDICINE LLC
Practice address
79 E Main St Ste 404
Westminster, MD 21157-5295
Phone
(410) 857-6155
NPI assigned
May 15, 2014
Last updated
May 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Ms. Laura D Bracken, L.AC, M.ACNPI 1366853269
Title
Manager
Phone
(410) 857-6155

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
Acupuncturist 171100000X U02145 MD Primary

Addresses

Primary practice location

79 E Main St Ste 404
Westminster, MD 21157-5295

Mailing address

79 E Main St Ste 404
Westminster, MD 21157-5295
Phone (410) 857-6155

National Provider Directory

National Provider Directory

Locations

79 E Main St
Ste 404
Westminster, MD 21157
Phone (410) 857-6155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1184035859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 E MAIN ST STE 404",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575295",
            "telephone_number": "410-857-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 E MAIN ST STE 404",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575295",
            "telephone_number": "410-857-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND CENTER FOR CHINESE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "BRACKEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-857-6155",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC, M.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.