Individual provider Active NPI

Karen Sung Chang, DAOM, L.AC.

  • Acupuncturist
  • Rockville, MD
National Provider Identifier
1790292142
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02886 Issued in MD
Practice address
15200 Shady Grove Rd Ste 103
Rockville, MD 20850-3218
Phone
(952) 378-7092
Fax
(240) 901-4515
NPI assigned
Jan 8, 2018
Last updated
Apr 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02886 MD Primary

Addresses

Primary practice location

15200 Shady Grove Rd Ste 103
Rockville, MD 20850-3218

Mailing address

9801 Dupont Ave S Ste 408
Minneapolis, MN 55431-3176
Phone (952) 378-7092

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
U02886MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Holystick,LLC Acupuncturist CurrentSince Apr 9, 2023 Accepting new patients

Locations

15200 Shady Grove Rd
Ste 103
Rockville, MD 20850
Phone (240) 945-8525

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1790292142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 DUPONT AVE S STE 408",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554313176",
            "telephone_number": "952-378-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SHADY GROVE RD STE 103",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503218",
            "telephone_number": "952-378-7092",
            "fax_number": "240-901-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KAREN",
        "middle_name": "SUNG",
        "name_prefix": "Dr.",
        "credential": "DAOM, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.