Jung Ah Kim

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U02330 Issued in MD

Practice address

9455 Baltimore National Pike Ste B
Ellicott City, MD 21042-2812

Phone

(443) 535-7575

NPI assigned

Jul 5, 2016

Last updated

May 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rapha Acupuncture & Herbal Clinic

  • Acupuncturist
  • Ellicott City, MD
  • NPI 1124692140
  NPD Authorized official

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1710339601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9455 BALTIMORE NATIONAL PIKE STE B",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422812",
            "telephone_number": "443-535-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9455 BALTIMORE NATIONAL PIKE STE B",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422812",
            "telephone_number": "443-535-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNG AH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "U02330",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Kim
• Hyoung Keun Kim, DMD
• Jiwon Kim
• Joy Kim
• Julie Kim
• Ken Kim
• Lisa M Kim, M.D.
• Philip T Kim, DDS
• So Young Kim
• Victor Yonghoon Kim, M.D.

• Acupuncturist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.