Active NPI
Shannon Ofiara, LAC, MOM, MAC
- Acupuncturist
- Glen Burnie, MD
National Provider Identifier
1477028694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U02540
- Practice address
- 1600 Crain Hwy S Ste 503
Glen Burnie, MD 21061-6443 - Phone
- (443) 354-1200
- Fax
- (410) 553-0019
- NPI assigned
- Oct 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U02540 | MD | Primary |
Addresses
Primary practice location
1600 Crain Hwy S Ste 503
Glen Burnie, MD 21061-6443
Mailing address
1600 Crain Hwy S Ste 503
Glen Burnie, MD 21061-6443
Phone (443) 354-1200
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
| License | State | Type | Specialty |
|---|---|---|---|
| U02540 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1477028694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 CRAIN HWY S STE 503",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210616443",
"telephone_number": "443-354-1200",
"fax_number": "410-553-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CRAIN HWY S STE 503",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210616443",
"telephone_number": "443-354-1200",
"fax_number": "410-553-0019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFIARA",
"first_name": "SHANNON",
"credential": "LAC, MOM, MAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U02540",
"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 Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.