Chulaluck Vogel, D.AC., L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U02681 Issued in MD

Practice address

2101 Concord Blvd Ste E
Crofton, MD 21114-2055

Phone

(410) 402-9974

NPI assigned

Jan 31, 2020

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 names 1

• Dr. Chula Puwacharoen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1770114415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 CITRINE WAY",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133850",
            "telephone_number": "808-366-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CONCORD BLVD STE E",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142055",
            "telephone_number": "410-402-9974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Citrine Way",
            "address_purpose": "LOCATION",
            "city": "Odenton",
            "state": "MD",
            "postal_code": "211133850",
            "country_code": "US",
            "telephone_number": "808-366-0243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "CHULALUCK",
        "name_prefix": "Dr.",
        "credential": "D.AC., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHULA",
            "last_name": "PUWACHAROEN",
            "prefix": "DR.",
            "credential": "D.AC., L.AC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Acupuncturist in Crofton, MD
• Providers in Crofton, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.