NPIMap

Organization Active NPI

Kibone LLC

  • Clinic/Center
  • Columbia, MD
National Provider Identifier
1639837529
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KIBONE LLC
Practice address
6325 Woodside CT Ste 130
Columbia, MD 21046-3214
Phone
(443) 941-5991
Fax
(443) 300-0678
NPI assigned
Dec 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Zechariah Choi, ACUPUNCTURISTNPI 1073279089
Title
President
Phone
(718) 216-4115

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6325 Woodside CT Ste 130
Columbia, MD 21046-3214

Mailing address

6325 Woodside CT Ste 130
Columbia, MD 21046-3214
Phone (443) 941-5991

Other names 1

  • Dodam Acupuncture Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL kibone.org Direct

National Provider Directory

National Provider Directory

Locations

7226 Lee Deforest Dr
Ste 202
Columbia, MD 21046
Phone (347) 399-7030

6325 Woodside Ct
Ste 130
Columbia, MD 21046
Phone (443) 941-5991

Practitioners & affiliated clinicians

Practitioners 1

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": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1639837529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 WOODSIDE CT STE 130",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463214",
            "telephone_number": "443-941-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 WOODSIDE CT STE 130",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463214",
            "telephone_number": "443-941-5991",
            "fax_number": "443-300-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIBONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "ZECHARIAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-216-4115",
        "authorized_official_credential": "ACUPUNCTURIST"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "kibone.org",
            "affiliation": "N",
            "endpointDescription": "Acupuncture Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5525 Twin Knolls Rd Ste 331",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210453207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dodam Acupuncture",
            "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 Aug 14, 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.