Song Bok Shin

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U01941 Issued in MD

Practice address

966 Hungerford Dr Ste 18a
Rockville, MD 20850-1743

Phone

(714) 469-3232

NPI assigned

Jul 29, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Relaxation Clinic

  • Acupuncturist
  • Rockville, MD
  • NPI 1356169254
  NPD

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1215766126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 HUNGERFORD DR STE 18A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 HUNGERFORD DR STE 18A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501743",
            "telephone_number": "714-469-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "SONG BOK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Shifflette
• John Michael Shih
• Steven K Shim, L.AC.
• Surafel Shimeles
• Kanchan Shimpi, M.D.
• Sun K Shin, L.AC
• Jeff Shinal, LCPC
• Mariah Ann Shingler
• Shining Path Wellness Clinic LLC
• Michal D Shinkle, DC

• Acupuncturist in Rockville, MD
• Providers in Rockville, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.