June Park, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U02390 Issued in MD

Practice address

5550 Sterrett PL Ste 303
Columbia, MD 21044-2643

Phone

(410) 997-0390

NPI assigned

Oct 24, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Acupuncture & Wellness LLC

  • Acupuncturist
  • Columbia, MD
  • NPI 1831483601
  NPD (past)

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548547200000",
    "number": "1306313630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7758 MAYFAIR CIR # B",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436970",
            "telephone_number": "443-360-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 STERRETT PL STE 303",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442643",
            "telephone_number": "410-997-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JUNE",
        "name_prefix": "Mr.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-24",
        "last_updated": "2019-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION COMMISSION FOR ACUPUNCTURE AND ORIENTAL MEDICINE",
            "identifier": "166298",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylie F Parisi, MS ABA
• Lameena Parisse
• Aaron Jiwan Park
• Daniel Park
• Hyue Young C Park, D.D.S., M.S.
• Seok Park, PHD, LAC
• Stanley J Park, D.D.S
• Esther Ann Parkar Allotey
• Amanda Parker
• Jasmine Parker

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2019; 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.