Organization Active NPI

Orchid Blossom Acupuncture LLC

  • Acupuncturist
  • Laurel, MD
National Provider Identifier
1467867861
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02158 Issued in MD
Legal business name
ORCHID BLOSSOM ACUPUNCTURE LLC
Practice address
7750 Montpelier Rd
Laurel, MD 20723-6010
Phone
(912) 596-8911
NPI assigned
Jun 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Takiesa Grant, L.AC.NPI 1205241700
Title
Owner
Phone
(912) 596-8911

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 U02158 MD Primary

Addresses

Primary practice location

7750 Montpelier Rd
Laurel, MD 20723-6010

Mailing address

10645 Gramercy PL
#351
Columbia, MD 21044-6073
Phone (912) 596-8911

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": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1467867861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10645 GRAMERCY PL",
            "address_2": "#351",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446073",
            "telephone_number": "912-596-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 MONTPELIER RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207236010",
            "telephone_number": "912-596-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHID BLOSSOM ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "TAKIESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-596-8911",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.