NPIMap

Organization Active NPI

Acupuncture, Inc.

  • Acupuncturist
  • Columbia, MD
National Provider Identifier
1972626968
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U00736 Issued in MD
Legal business name
ACUPUNCTURE, INC.
Practice address
4964 Woodward GDNS
Columbia, MD 21044-1525
Phone
(410) 740-1750
Fax
(410) 740-4330
NPI assigned
Apr 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sandra Ruth Johnson, LIC.AC.
Title
President
Phone
(410) 740-1750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U00736 MD Primary

Addresses

Primary practice location

4964 Woodward GDNS
Columbia, MD 21044-1525

Mailing address

4964 Woodward GDNS
Columbia, MD 21044-1525
Phone (410) 740-1750

Other identifiers 2

IdentifierTypeStateIssuer
LU81OtherMDCAREFIRST BC BS
S225-0001OtherDCCAREFIRST BC BS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972626968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4964 WOODWARD GDNS",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441525",
            "telephone_number": "410-740-1750",
            "fax_number": "410-740-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4964 WOODWARD GDNS",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441525",
            "telephone_number": "410-740-1750",
            "fax_number": "410-740-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-740-1750",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LIC.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U00736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC BS",
            "identifier": "LU81",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC BS",
            "identifier": "S225-0001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.