Individual provider Active NPI

Steven K Shim, L.AC.

  • Acupuncturist
  • Rockville, MD
National Provider Identifier
1336625730
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02523 Issued in MD
Practice address
1803 Research Blvd Ste 220
Rockville, MD 20850-3155
Phone
(240) 328-6608
NPI assigned
Jul 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02523 MD Primary

Addresses

Primary practice location

1803 Research Blvd Ste 220
Rockville, MD 20850-3155

Mailing address

1803 Research Blvd Ste 220
Rockville, MD 20850-3155
Phone (301) 717-0789

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
U02523MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Acupuncture Wellness Clinic Inc. Acupuncturist CurrentSince Oct 19, 2020 Accepting new patients

Locations

1803 Research Blvd
Ste 220
Rockville, MD 20850
Phone (240) 328-6608

Organizations & group practices 1

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1336625730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 RESEARCH BLVD STE 220",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503155",
            "telephone_number": "301-717-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 RESEARCH BLVD STE 220",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503155",
            "telephone_number": "240-328-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIM",
        "first_name": "STEVEN",
        "middle_name": "K",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.