NPIMap

Organization Active NPI

Extraordinary Vessels Traditional Acupuncture

  • Health Service Clinic/Center
  • Annapolis, MD
National Provider Identifier
1699135772
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
U00484 Issued in MD
Legal business name
EXTRAORDINARY VESSELS TRADITIONAL ACUPUNCTURE
Practice address
1233 Dietrich Way
Annapolis, MD 21409-5020
Phone
(410) 980-1397
NPI assigned
Mar 2, 2016
Last updated
Mar 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Ms. Dale Amaral Korangy, M.AC., L.AC.
Title
Acupuncturist/ Owner
Phone
(410) 980-1397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X U00484 MD Primary

Addresses

Primary practice location

1233 Dietrich Way
Annapolis, MD 21409-5020

Mailing address

1233 Dietrich Way
Annapolis, MD 21409-5020
Phone (410) 980-1397

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1699135772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 DIETRICH WAY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214095020",
            "telephone_number": "410-980-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 DIETRICH WAY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214095020",
            "telephone_number": "410-980-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRAORDINARY VESSELS TRADITIONAL ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "KORANGY",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "AMARAL",
        "authorized_official_title_or_position": "ACUPUNCTURIST/ OWNER",
        "authorized_official_telephone_number": "410-980-1397",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.AC., L.AC."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "U00484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.