Individual provider Active NPI

Richard David Gamble Jr., RN, LMBT, LMT

  • Massage Therapist
  • Columbia, MD
National Provider Identifier
1346605318
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M05495 Issued in MD
Practice address
8955 Guilford Rd
#240
Columbia, MD 21046-2651
Phone
(443) 393-2650
NPI assigned
Dec 17, 2015
Last updated
Dec 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 198410 NC
Massage Therapist 225700000X M05495 MD Primary
Massage Therapist 225700000X 01053 NC

Addresses

Primary practice location

8955 Guilford Rd
#240
Columbia, MD 21046-2651

Mailing address

7108 Holly Ave
Takoma Park, MD 20912-4226
Phone (910) 273-5351

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
198410NCMDRegistered Nurse
M05495MDMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1346605318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 HOLLY AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124226",
            "telephone_number": "910-273-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 GUILFORD RD",
            "address_2": "#240",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462651",
            "telephone_number": "443-393-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "RICHARD",
        "middle_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "RN, LMBT, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "198410",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M05495",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "01053",
            "primary": false
        }
    ],
    "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 Dec 17, 2015; 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.