NPIMap

Organization Active NPI

Acupuncture & Wellness LLC

  • Acupuncturist
  • Columbia, MD
National Provider Identifier
1831483601
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01592 Issued in MD
Legal business name
ACUPUNCTURE & WELLNESS LLC
Practice address
5550 Sterrett PL
Suite 303
Columbia, MD 21044-2611
Phone
(410) 997-0390
Fax
(410) 885-4744
NPI assigned
Jun 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Seok Park, PH.D., L.AC.NPI 1326247016
Title
Clinic Director/Owner
Phone
(410) 997-0390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X U01592 MD Primary

Addresses

Primary practice location

5550 Sterrett PL
Suite 303
Columbia, MD 21044-2611

Mailing address

5550 Sterrett PL
Suite 303
Columbia, MD 21044-2611
Phone (410) 997-0390

Other identifiers 3

IdentifierTypeStateIssuer
551510600OtherMDMEDICAL ASSISTANCE
C7VJS 92173902OtherMDCAREFIRST
Y300-0001OtherDCCAREFIRST

Other names 1

  • Dr. Park Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

5550 Sterrett Pl
Ste 303
Columbia, MD 21044
Phone (410) 997-0390

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1831483601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 STERRETT PL",
            "address_2": "SUITE 303",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442611",
            "telephone_number": "410-997-0390",
            "fax_number": "410-885-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 STERRETT PL",
            "address_2": "SUITE 303",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442611",
            "telephone_number": "410-997-0390",
            "fax_number": "410-885-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SEOK",
        "authorized_official_title_or_position": "CLINIC DIRECTOR/OWNER",
        "authorized_official_telephone_number": "410-997-0390",
        "authorized_official_credential": "PH.D., L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "551510600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "C7VJS   92173902",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "Y300-0001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Park Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.