Organization Active NPI

Heartshine Acupuncture

  • Clinic/Center
  • Ellicott City, MD
National Provider Identifier
1295288959
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
U02326 Issued in MD
Legal business name
HEARTSHINE ACUPUNCTURE
Practice address
3110 W Springs Dr Apt F
Ellicott City, MD 21043-3249
Phone
(410) 564-6303
NPI assigned
Jul 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Authorized official

Name
Victoria Bruk
Title
Acupuncturist
Phone
(410) 564-6303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X U02326 MD Primary

Addresses

Primary practice location

3110 W Springs Dr Apt F
Ellicott City, MD 21043-3249

Mailing address

3110 W Springs Dr Apt F
Ellicott City, MD 21043-3249
Phone (410) 564-6303

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1295288959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 W SPRINGS DR APT F",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433249",
            "telephone_number": "410-564-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 W SPRINGS DR APT F",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433249",
            "telephone_number": "410-564-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTSHINE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "BRUK",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "410-564-6303"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "U02326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

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