NPIMap

Organization Active NPI

Boonsboro Wellness Center, Inc.

  • Acupuncturist
  • Boonsboro, MD
National Provider Identifier
1205956141
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U00399 Issued in MD
Legal business name
BOONSBORO WELLNESS CENTER, INC.
Practice address
27 S Main St
Boonsboro, MD 21713-1236
Phone
(301) 432-4940
Fax
(301) 432-1120
NPI assigned
Mar 31, 2007
Last updated
Aug 8, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
BOONSBORO WELLNESS CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Mr. Jeffrey Worth, R.N., L.AC.NPI 1841547940
Title
Owner-Acupuncturist
Phone
(301) 432-4940

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R101295 MD
Acupuncturist 171100000X U00399 MD Primary

Addresses

Primary practice location

27 S Main St
Boonsboro, MD 21713-1236

Mailing address

27 S Main St
Boonsboro, MD 21713-1236
Phone (301) 432-4940

National Provider Directory

National Provider Directory
Part of
Boonsboro Wellness Center Inc

Practitioners & affiliated clinicians

Practitioners 11

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": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1205956141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 S MAIN ST",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131236",
            "telephone_number": "301-432-4940",
            "fax_number": "301-432-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 S MAIN ST",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131236",
            "telephone_number": "301-432-4940",
            "fax_number": "301-432-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONSBORO WELLNESS CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOONSBORO WELLNESS CENTER, INC.",
        "enumeration_date": "2007-03-31",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "WORTH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER-ACUPUNCTURIST",
        "authorized_official_telephone_number": "301-432-4940",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N., L.AC."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R101295",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U00399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonsboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.