Active NPI
Sang Kwon Hong, L.AC.
- Acupuncturist
- Ellicott City, MD
National Provider Identifier
1801224480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U02420
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| U02420 | MD | MD | Acupuncturist |
| M04274 | MD | MD | Massage Therapist |
| 0019008551 | VA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Acupuncturist
- Ellicott City, MD
- NPI 1538715131
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.