Individual provider Active NPI

Mary Beth Dwyer

  • Acupuncturist
  • Baltimore, MD
National Provider Identifier
1972895597
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
UO1867 Issued in MD
Practice address
5710 Newbury St
2ND FL
Baltimore, MD 21209-3657
Phone
(301) 351-3509
NPI assigned
May 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X UO1867 MD Primary

Addresses

Primary practice location

5710 Newbury St
2ND FL
Baltimore, MD 21209-3657

Mailing address

5710 Newbury St
2ND FL
Baltimore, MD 21209-3657
Phone (301) 351-3509

Other names 1

  • Mary Beth Dwyer Professional name

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
UO1867MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1972895597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 NEWBURY ST",
            "address_2": "2ND FL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093657",
            "telephone_number": "301-351-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 NEWBURY ST",
            "address_2": "2ND FL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093657",
            "telephone_number": "301-351-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "MARY BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "UO1867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY BETH",
            "last_name": "DWYER",
            "credential": "M.AC.,L.AC.,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 May 16, 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.