Individual provider Active NPI

Dawn R. Gifford, DOM, LAC.

  • Acupuncturist
  • Berlin, MD
National Provider Identifier
1376916809
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02057 Issued in MD
Practice address
11033 Cathell Rd
Berlin, MD 21811-9328
Phone
(410) 725-9048
Fax
(410) 630-5673
NPI assigned
Nov 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02057 MD Primary

Addresses

Primary practice location

11033 Cathell Rd
Berlin, MD 21811-9328

Mailing address

11033 Cathell Rd
Berlin, MD 21811-9328
Phone (410) 725-9048

Other practice location 1

260 Gateway Dr Ste 7B
Bel Air, MD 21014-4128
Phone (410) 725-9048

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
U02057MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1376916809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11033 CATHELL RD",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218119328",
            "telephone_number": "410-725-9048",
            "fax_number": "410-630-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11033 CATHELL RD",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218119328",
            "telephone_number": "410-725-9048",
            "fax_number": "410-630-5673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Gateway Dr Ste 7B",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210144128",
            "country_code": "US",
            "telephone_number": "410-725-9048",
            "fax_number": "410-630-5673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "DAWN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DOM, LAC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.