Organization Active NPI

NK Dance Services LLC

  • Dance Therapist
  • Catonsville, MD
National Provider Identifier
1649049776
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dance TherapistTaxonomy code 225600000X
Legal business name
NK DANCE SERVICES LLC
Practice address
5621 Old Frederick Rd
Catonsville, MD 21228-1554
Phone
(443) 574-4753
NPI assigned
Dec 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Kaosochi Ezigboh
Title
Creative Director
Phone
(240) 370-4485

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dance TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225600000X Primary
Music TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225A00000X

Addresses

Primary practice location

5621 Old Frederick Rd
Catonsville, MD 21228-1554

Mailing address

8455 Baltimore National Pike
Ste 3, #574
Ellicott City, MD 21043
Phone (443) 574-4753

National Provider Directory

National Provider Directory

Locations

5621 Old Frederick Rd
Catonsville, MD 21228
Phone (302) 403-7373

8455 Baltimore National Pike
Ste 3
Ellicott City, MD 21043
Phone (667) 308-2695

NPI Registry JSON

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1649049776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 BALTIMORE NATIONAL PIKE",
            "address_2": "STE 3, #574",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "21043",
            "telephone_number": "443-574-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5621 OLD FREDERICK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281554",
            "telephone_number": "443-574-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NK DANCE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "EZIGBOH",
        "authorized_official_first_name": "KAOSOCHI",
        "authorized_official_title_or_position": "CREATIVE DIRECTOR",
        "authorized_official_telephone_number": "240-370-4485"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dance Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

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