NPIMap

Organization Active NPI

Bethesda Acupuncture Wellness Clinic Inc.

  • Acupuncturist
  • Rockville, MD
National Provider Identifier
1417555178
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BETHESDA ACUPUNCTURE WELLNESS CLINIC INC.
Practice address
1803 Research Blvd Ste 220
Rockville, MD 20850-3155
Phone
(301) 717-0789
NPI assigned
Oct 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Steven K Shim, L.AC.NPI 1336625730
Title
Acupuncturist
Phone
(301) 717-0789

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 Primary

Addresses

Primary practice location

1803 Research Blvd Ste 220
Rockville, MD 20850-3155

Mailing address

1803 Research Blvd Ste 220
Rockville, MD 20850-3155
Phone (301) 717-0789

National Provider Directory

National Provider Directory

Locations

1803 Research Blvd
Ste 220
Rockville, MD 20850
Phone (240) 328-6608

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": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1417555178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 RESEARCH BLVD STE 220",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503155",
            "telephone_number": "301-717-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 RESEARCH BLVD STE 220",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503155",
            "telephone_number": "301-717-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA ACUPUNCTURE WELLNESS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "SHIM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "301-717-0789",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.