Individual provider Active NPI

Yani Mao

  • Acupuncturist
  • Gaithersburg, MD
National Provider Identifier
1265301477
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U03269 Issued in MD
Practice address
9047 Shady Grove CT
Gaithersburg, MD 20877-1301
Phone
(301) 891-9988
NPI assigned
Nov 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U03269 MD Primary

Addresses

Primary practice location

9047 Shady Grove CT
Gaithersburg, MD 20877-1301

Mailing address

9047 Shady Grove CT
Gaithersburg, MD 20877-1301
Phone (301) 891-9988

Other practice location 1

1645 Liberty Rd Ste 102
Sykesville, MD 21784-6537
Phone (443) 398-7018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
U03269MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Lilac Day Spa Inc Acupuncturist CurrentSince Nov 9, 2025 Accepting new patients
Ethereal Wellness Clinic LLC Acupuncturist CurrentSince Nov 9, 2025 Accepting new patients

Locations

9047 Shady Grove Ct
Gaithersburg, MD 20877
Phone (240) 477-7207

1645 Liberty Rd
Ste 102
Sykesville, MD 21784
Phone (443) 398-7018

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1265301477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9047 SHADY GROVE CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771301",
            "telephone_number": "301-891-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9047 SHADY GROVE CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771301",
            "telephone_number": "301-891-9988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645 Liberty Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sykesville",
            "state": "MD",
            "postal_code": "217846537",
            "country_code": "US",
            "telephone_number": "443-398-7018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAO",
        "first_name": "YANI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U03269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.