Individual provider Active NPI

Disha Sud, L.AC.

  • Acupuncturist
  • Silver Spring, MD
National Provider Identifier
1619680196
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02974 Issued in MD
Practice address
912 Thayer Ave Ste 105
Silver Spring, MD 20910-5734
Phone
(240) 641-4116
NPI assigned
Dec 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02974 MD Primary

Addresses

Primary practice location

912 Thayer Ave Ste 105
Silver Spring, MD 20910-5734

Mailing address

7726 Polara PL
Derwood, MD 20855-2045
Phone (240) 421-2691

Other practice location 1

2544 Quarry Lake Dr
Baltimore, MD 21209-3759
Phone (410) 337-7940

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
U02974MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Pulse Community Care, LLC Acupuncturist PastSince Jan 1, 2023 Accepting new patients
Seeds Center for Whole Health, LLC Acupuncturist PastSince Aug 1, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1619680196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7726 POLARA PL",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208552045",
            "telephone_number": "240-421-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 THAYER AVE STE 105",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105734",
            "telephone_number": "240-641-4116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2544 Quarry Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212093759",
            "country_code": "US",
            "telephone_number": "410-337-7940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUD",
        "first_name": "DISHA",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.