Individual provider Active NPI

Sang Kwon Hong, L.AC.

  • Acupuncturist
  • Ellicott City, MD
National Provider Identifier
1801224480
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02420 Issued in MD
Practice address
4010 Font Hill Dr
Ellicott City, MD 21042-5616
Phone
(443) 812-0857
NPI assigned
Oct 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X M04274 MD
Massage Therapist 225700000X 0019008551 VA
Acupuncturist 171100000X U02420 MD Primary

Addresses

Primary practice location

4010 Font Hill Dr
Ellicott City, MD 21042-5616

Mailing address

4010 Font Hill Dr
Ellicott City, MD 21042-5616
Phone (443) 812-0857

Other practice location 1

10194 Baltimore National Pike
#107
Ellicott City, MD 21042
Phone (443) 812-0857

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
U02420MDMDAcupuncturist
M04274MDMDMassage Therapist
0019008551VAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Acupuncture & Wellness Center LLC Acupuncturist Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1801224480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 FONT HILL DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425616",
            "telephone_number": "443-812-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 FONT HILL DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425616",
            "telephone_number": "443-812-0857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10194 Baltimore National Pike",
            "address_2": "#107",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "21042",
            "country_code": "US",
            "telephone_number": "443-812-0857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONG",
        "first_name": "SANG",
        "middle_name": "KWON",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-17",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M04274",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019008551",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.