Organization Active NPI

TSP at Haven on the Lake

  • Acupuncturist
  • Columbia, MD
National Provider Identifier
1255793485
Registry record updated Mar 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01486 Issued in MD
Legal business name
TSP AT HAVEN ON THE LAKE
Practice address
10275 Little Patuxent Pkwy
Suite 102
Columbia, MD 21044-3412
Phone
(202) 352-5289
NPI assigned
Mar 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2016

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

Authorized official

Name
Ms. Tori Lynn Paide, L.AC
Title
Owner
Phone
(202) 352-5289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X U01486 MD Primary

Addresses

Primary practice location

10275 Little Patuxent Pkwy
Suite 102
Columbia, MD 21044-3412

Mailing address

5570 Sterrett PL
#202
Columbia, MD 21044-2641
Phone (202) 352-5289

National Provider Directory

National Provider Directory

Locations

10275 Little Patuxent Pkwy
Ste 102
Columbia, MD 21044
Phone (202) 352-5289

5570 Sterrett Pl
Ste 202
Columbia, MD 21044

NPI Registry JSON

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

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458950400000",
    "number": "1255793485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 STERRETT PL",
            "address_2": "#202",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442641",
            "telephone_number": "202-352-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10275 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 102",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443412",
            "telephone_number": "202-352-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSP AT HAVEN ON THE LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-26",
        "last_updated": "2016-03-26",
        "status": "A",
        "authorized_official_last_name": "PAIDE",
        "authorized_official_first_name": "TORI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-352-5289",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01486",
            "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 Mar 26, 2016; 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.