NPIMap

Organization Active NPI

Jennum O'Hara Acupuncture, LLC

  • Acupuncturist
  • Ellicott City, MD
National Provider Identifier
1679292312
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
JENNUM O'HARA ACUPUNCTURE, LLC
Doing business as
Jennum O'Hara Acupuncture, LLC
Practice address
8726 Town and Country Blvd Ste 103
Ellicott City, MD 21043-3061
Phone
(240) 319-2694
Fax
(833) 579-8626
NPI assigned
Aug 25, 2022
Last updated
Aug 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Dr. Jennum O'Hara, DOM, L.AC.NPI 1861898983
Title
Owner, Acupuncturist
Phone
(518) 669-2982

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
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

8726 Town and Country Blvd Ste 103
Ellicott City, MD 21043-3061

Mailing address

8726 Town and Country Blvd Ste 103
Ellicott City, MD 21043-3061
Phone (240) 319-2694

Other names 1

  • Jennum O'Hara Acupuncture, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

8726 Town and Country Blvd
Ste 103
Ellicott City, MD 21043
Phone (240) 319-2694

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1679292312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8726 TOWN AND COUNTRY BLVD STE 103",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433061",
            "telephone_number": "240-319-2694",
            "fax_number": "833-579-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8726 TOWN AND COUNTRY BLVD STE 103",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433061",
            "telephone_number": "240-319-2694",
            "fax_number": "833-579-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNUM O'HARA ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "O'HARA",
        "authorized_official_first_name": "JENNUM",
        "authorized_official_title_or_position": "OWNER, ACUPUNCTURIST",
        "authorized_official_telephone_number": "518-669-2982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOM, L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennum O'Hara Acupuncture, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.