Active NPI
NK Dance Services LLC
- Dance Therapist
- Catonsville, MD
National Provider Identifier
1649049776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dance Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dance Therapist | 225600000X | Primary | ||
| Music Therapist | 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 DirectoryLocations
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.