NPIMap

Organization Active NPI

Advanced Integrative Health Group

  • Acupuncturist
  • Gambrills, MD
National Provider Identifier
1720445158
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01974 Issued in MD
Legal business name
ADVANCED INTEGRATIVE HEALTH GROUP
Practice address
2401 Brandermill Blvd
Suite 301
Gambrills, MD 21054-1690
Phone
(301) 806-4433
NPI assigned
Jan 14, 2016
Last updated
May 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2017

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

Authorized official

Name
Dr. Denise Carol Tyson, DOM, L.AC.NPI 1447617873
Title
Managing Director
Phone
(301) 806-4433

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 U01974 MD Primary

Addresses

Primary practice location

2401 Brandermill Blvd
Suite 301
Gambrills, MD 21054-1690

Mailing address

2401 Brandermill Blvd
Suite 301
Gambrills, MD 21054-1690
Phone (301) 806-4433

National Provider Directory

National Provider Directory

Locations

2401 Brandermill Blvd
Ste 301
Gambrills, MD 21054
Phone (410) 451-9064

Interoperability endpoints

  • Direct secure messaging: aihgadmin@org41.direct.charmhealth.com

Practitioners & affiliated clinicians

Practitioners 9

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": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494892800000",
    "number": "1720445158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BRANDERMILL BLVD",
            "address_2": "SUITE 301",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541690",
            "telephone_number": "301-806-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BRANDERMILL BLVD",
            "address_2": "SUITE 301",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541690",
            "telephone_number": "301-806-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INTEGRATIVE HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2017-05-16",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "301-806-4433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOM, L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gambrills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; 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.