Individual provider Active NPI

Anxi Wang, L.AC.

  • Acupuncturist
  • Glen Burnie, MD
National Provider Identifier
1386972149
Registry record updated Dec 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U00631 Issued in MD
Practice address
7900 Ritchie Hwy
D119
Glen Burnie, MD 21061-4367
Phone
(443) 824-0699
NPI assigned
Dec 5, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U00631 MD Primary

Addresses

Primary practice location

7900 Ritchie Hwy
D119
Glen Burnie, MD 21061-4367

Mailing address

7900 Ritchie Hwy
D119
Glen Burnie, MD 21061-4367
Phone (443) 824-0699

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
U00631MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1259971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259971200000",
    "number": "1386972149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 RITCHIE HWY",
            "address_2": "D119",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614367",
            "telephone_number": "443-824-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 RITCHIE HWY",
            "address_2": "D119",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614367",
            "telephone_number": "443-824-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "ANXI",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-05",
        "last_updated": "2009-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U00631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2009; 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.