NPIMap

Organization Active NPI

R4, LLC

  • Acupuncturist
  • Bel Air, MD
National Provider Identifier
1962767657
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01599 Issued in MD
Legal business name
R4, LLC
Doing business as
R4 WELLNESS
Practice address
424 Barnes St
2ND Floor
Bel Air, MD 21014-3958
Phone
(410) 638-5544
NPI assigned
Jul 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Mrs. Susan Chamberlain
Title
Owner
Phone
(410) 638-5544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X U01599 MD Primary

Addresses

Primary practice location

424 Barnes St
2ND Floor
Bel Air, MD 21014-3958

Mailing address

424 Barnes St
2ND Floor
Bel Air, MD 21014-3958
Phone (410) 638-5544

Other names 1

  • R4 WELLNESS Doing business as

National Provider Directory

National Provider Directory

Locations

424 Barnes St
Fl 2
Bel Air, MD 21014
Phone (410) 638-5544

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1962767657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 BARNES ST",
            "address_2": "2ND FLOOR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143958",
            "telephone_number": "410-638-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 BARNES ST",
            "address_2": "2ND FLOOR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143958",
            "telephone_number": "410-638-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R4, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-638-5544",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R4 WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.