Individual provider Active NPI

Shirin Aghahosseini, L.AC

  • Acupuncturist
  • Gaithersburg, MD
National Provider Identifier
1962789479
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U1023 Issued in MD
Practice address
309B Cross Green St
Gaithersburg, MD 20878-6481
Phone
(240) 832-1111
NPI assigned
Nov 11, 2011
Last updated
Nov 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 012000167 VA
Acupuncturist 171100000X U1023 MD Primary

Addresses

Primary practice location

309B Cross Green St
Gaithersburg, MD 20878-6481

Mailing address

309B Cross Green St
Gaithersburg, MD 20878-6481
Phone (240) 832-1111

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

LicenseStateTypeSpecialty
U1023MDMDAcupuncturist
012000167VAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1962789479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309B CROSS GREEN ST",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786481",
            "telephone_number": "240-832-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309B CROSS GREEN ST",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786481",
            "telephone_number": "240-832-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHAHOSSEINI",
        "first_name": "SHIRIN",
        "name_prefix": "Dr.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "012000167",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U1023",
            "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 Nov 11, 2011; 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.