Organization Active NPI

Classical Acupuncture

  • Acupuncturist
  • Gaithersburg, MD
National Provider Identifier
1538385307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01200 Issued in MD
Legal business name
CLASSICAL ACUPUNCTURE
Practice address
321 Main St
Gaithersburg, MD 20878-5538
Phone
(301) 977-7762
NPI assigned
Apr 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Rebecca Bowne Greenberg, L. AC, M. AC,
Title
Acupuncture Practitioner
Phone
(240) 604-4519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U01200 MD Primary

Addresses

Primary practice location

321 Main St
Gaithersburg, MD 20878-5538

Mailing address

13333 Bondy Way
North Potomac, MD 20878-2124
Phone (240) 604-4519

Other identifiers 2

IdentifierTypeStateIssuer
G4190001OtherMDCAREFIRST NATIONAL
B419OtherMDCAREFIRST MD

National Provider Directory

National Provider Directory

Locations

321 Main St
Gaithersburg, MD 20878
Phone (301) 977-7762

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538385307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13333 BONDY WAY",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782124",
            "telephone_number": "240-604-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785538",
            "telephone_number": "301-977-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSICAL ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "BOWNE",
        "authorized_official_title_or_position": "ACUPUNCTURE PRACTITIONER",
        "authorized_official_telephone_number": "240-604-4519",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L. AC, M. AC,"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST NATIONAL",
            "identifier": "G4190001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD",
            "identifier": "B419",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.