Active NPI
Vladimir Liss, L.AC., M.AC.
- Acupuncturist
- Gaithersburg, MD
National Provider Identifier
1801316906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U02408
- Practice address
- 9709 Shadow Oak Dr
Gaithersburg, MD 20886-1123 - Phone
- (347) 701-3437
- NPI assigned
- Jun 21, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U02408 | MD | Primary |
Addresses
Primary practice location
9709 Shadow Oak Dr
Gaithersburg, MD 20886-1123
Mailing address
9709 Shadow Oak Dr
Gaithersburg, MD 20886-1123
Phone (347) 701-3437
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 |
|---|---|---|---|
| U02408 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544313600000",
"number": "1801316906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9709 SHADOW OAK DR",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208861123",
"telephone_number": "347-701-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9709 SHADOW OAK DR",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208861123",
"telephone_number": "347-701-3437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISS",
"first_name": "VLADIMIR",
"name_prefix": "Mr.",
"credential": "L.AC., M.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-21",
"last_updated": "2018-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U02408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.