Active NPI
Seungyong Park
- Acupuncturist
- Baltimore, MD
National Provider Identifier
1912645151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U02850
- Practice address
- 1725 Champlain Dr Apt C
Baltimore, MD 21207-5116 - Phone
- (240) 751-2125
- NPI assigned
- May 26, 2022
- 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 | U02850 | MD | Primary |
Addresses
Primary practice location
1725 Champlain Dr Apt C
Baltimore, MD 21207-5116
Mailing address
1725 Champlain Dr Apt C
Baltimore, MD 21207-5116
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 |
|---|---|---|---|
| U02850 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678492800000",
"number": "1912645151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 CHAMPLAIN DR APT C",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212075116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 CHAMPLAIN DR APT C",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212075116",
"telephone_number": "240-751-2125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "SEUNGYONG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-26",
"last_updated": "2023-03-11",
"certification_date": "2023-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U02850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.