Individual provider Active NPI

Songping Wang

  • Massage Therapist
  • North Potomac, MD
National Provider Identifier
1780338277
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M05401 Issued in MD
Practice address
14600 Devereaux Ter
North Potomac, MD 20878-4331
Phone
(301) 518-9660
NPI assigned
Feb 4, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X M05401 MD Primary
Nurse Massage Therapist (NMT)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WM1400X M05401 MD

Addresses

Primary practice location

14600 Devereaux Ter
North Potomac, MD 20878-4331

Mailing address

14600 Devereaux Ter
North Potomac, MD 20878-4331

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.acmeclinics.com

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

LicenseStateTypeSpecialty
M05401MDMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1780338277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 DEVEREAUX TER",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208784331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 DEVEREAUX TER",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208784331",
            "telephone_number": "301-518-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "SONGPING",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M05401",
            "primary": true
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "MD",
            "license": "M05401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.acmeclinics.com",
            "affiliation": "N",
            "address_1": "14600 Devereaux Ter",
            "city": "North Potomac",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208784331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.