Active NPI
Michael Cory Jecmen, M.AC., L.AC.
- Acupuncturist
- Bethesda, MD
National Provider Identifier
1619110756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- UO1732
- Practice address
- 4701 Sangamore Rd
Bethesda, MD 20816-2508 - Phone
- (240) 507-5110
- Fax
- (844) 682-8102
- NPI assigned
- Apr 17, 2009
- Sex
- Male
- 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 | UO1732 | MD | Primary |
Addresses
Primary practice location
4701 Sangamore Rd
Bethesda, MD 20816-2508
Mailing address
41869 Dublane PL
Ashburn, VA 20148-8038
Phone (240) 498-9979
Other practice location 1
4933 Auburn Ave
207 C
Bethesda, MD 20814-2631
Phone (240) 498-9979
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 |
|---|---|---|---|
| UO1732 | MD | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Acupuncture, LLC | Acupuncturist | Past | Accepting new patients |
| Happy Health and Wellness East LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1619110756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41869 DUBLANE PL",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201488038",
"telephone_number": "240-498-9979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 SANGAMORE RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208162508",
"telephone_number": "240-507-5110",
"fax_number": "844-682-8102"
}
],
"practiceLocations": [
{
"address_1": "4933 Auburn Ave",
"address_2": "207 C",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208142631",
"country_code": "US",
"telephone_number": "240-498-9979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JECMEN",
"first_name": "MICHAEL",
"middle_name": "CORY",
"name_prefix": "Mr.",
"credential": "M.AC., L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "UO1732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.