Active NPI
Kum Ho Shin, ACUPUNCTURIST
- Acupuncturist
- Hanover, MD
National Provider Identifier
1700608338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U02892
- Practice address
- 7577 Warburg Way
Hanover, MD 21076-2397 - Phone
- (201) 280-6463
- NPI assigned
- Oct 25, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U02892 | MD | Primary |
Addresses
Primary practice location
7577 Warburg Way
Hanover, MD 21076-2397
Mailing address
7577 Warburg Way
Hanover, MD 21076-2397
Phone (201) 280-6463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U02892 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1700608338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7577 WARBURG WAY",
"city": "HANOVER",
"state": "MD",
"postal_code": "210762397",
"telephone_number": "201-280-6463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7577 WARBURG WAY",
"city": "HANOVER",
"state": "MD",
"postal_code": "210762397",
"telephone_number": "201-280-6463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "KUM",
"middle_name": "HO",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-25",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U02892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.