NPIMap

Organization Active NPI

Penny Acupuncture, Herbal ,Medical Massage Clinic

  • Acupuncturist
  • Columbia, MD
National Provider Identifier
1487429718
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
PENNY ACUPUNCTURE, HERBAL ,MEDICAL MASSAGE CLINIC
Doing business as
Penny Acupuncture, Herbal ,Medical Massage clinic
Practice address
5911 Millrace CT Unit J304
Columbia, MD 21045-7218
Phone
(917) 497-8426
NPI assigned
Nov 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Jian MadesenNPI 1720758634
Title
Owner
Phone
(917) 497-8426

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

5911 Millrace CT Unit J304
Columbia, MD 21045-7218

Mailing address

5911 Millrace CT Unit J304
Columbia, MD 21045-7218
Phone (917) 497-8426

Other names 1

  • Penny Acupuncture, Herbal ,Medical Massage clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1487429718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 MILLRACE CT UNIT J304",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210457218",
            "telephone_number": "917-497-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 MILLRACE CT UNIT J304",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210457218",
            "telephone_number": "917-497-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNY ACUPUNCTURE, HERBAL ,MEDICAL MASSAGE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "MADESEN",
        "authorized_official_first_name": "JIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-497-8426"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penny Acupuncture, Herbal ,Medical Massage clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.