Individual provider Active NPI

Carl V Rosenthal, L.AC.

  • Acupuncturist
  • Bel Air, MD
National Provider Identifier
1528192440
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U00803 Issued in MD
Practice address
1208 Churchville Rd.
Suite 100
Bel Air, MD 21014-3483
Phone
(410) 836-5500
Fax
(410) 836-5500
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U00803 MD Primary

Addresses

Primary practice location

1208 Churchville Rd.
Suite 100
Bel Air, MD 21014-3483

Mailing address

1208 Churchville Rd.
Suite 100
Bel Air, MD 21014-3483
Phone (410) 836-5500

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

LicenseStateTypeSpecialty
U00803MDMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528192440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 CHURCHVILLE RD.",
            "address_2": "SUITE 100",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143483",
            "telephone_number": "410-836-5500",
            "fax_number": "410-836-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 CHURCHVILLE RD.",
            "address_2": "SUITE 100",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143483",
            "telephone_number": "410-836-5500",
            "fax_number": "410-836-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "CARL",
        "middle_name": "V",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U00803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.