NPIMap

Organization Active NPI

Kunlun Mountain Acupuncture, Inc.

  • Acupuncturist
  • Pasadena, MD
National Provider Identifier
1396089579
Registry record updated Nov 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U-01512 Issued in MD
Legal business name
KUNLUN MOUNTAIN ACUPUNCTURE, INC.
Practice address
803 207TH St
Pasadena, MD 21122-1631
Phone
(410) 627-3387
NPI assigned
Nov 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2012

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

Authorized official

Name
Tracy Soltesz, L.AC.NPI 1730375304
Title
Owner
Phone
(410) 627-3387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X U-01512 MD Primary

Addresses

Primary practice location

803 207TH St
Pasadena, MD 21122-1631

Mailing address

803 207TH St
Pasadena, MD 21122-1631

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": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352678400000",
    "number": "1396089579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 207TH ST",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 207TH ST",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221631",
            "telephone_number": "410-627-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUNLUN MOUNTAIN ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2012-11-12",
        "status": "A",
        "authorized_official_last_name": "SOLTESZ",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-627-3387",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U-01512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; 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.