NPIMap

Organization Active NPI

Yin Tang Oriental Clinic

  • Acupuncturist
  • Ellicott City, MD
National Provider Identifier
1356538946
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01546 Issued in MD
Legal business name
YIN TANG ORIENTAL CLINIC
Practice address
4747 Hallowed STRM
Ellicott City, MD 21042-7902
Phone
(443) 857-4192
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Sung Mi Park, M.AC, L.AC
Title
Acupuncturist
Phone
(443) 857-4192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X U01546 MD Primary

Addresses

Primary practice location

4747 Hallowed STRM
Ellicott City, MD 21042-7902

Mailing address

4747 Hallowed STRM
Ellicott City, MD 21042-7902
Phone (443) 857-4192

Other names 1

  • Yin Tang Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1356538946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 HALLOWED STRM",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427902",
            "telephone_number": "443-857-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 HALLOWED STRM",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427902",
            "telephone_number": "443-857-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YIN TANG ORIENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SUNG MI",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "443-857-4192",
        "authorized_official_credential": "M.AC, L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yin Tang Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 27, 2007; 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.