Healthcare Provider Details

I. General information

NPI: 1316759319
Provider Name (Legal Business Name): SAMANTHA OBUOBI ND, DAC, LAC, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2025
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8601 MANCHESTER RD
SILVER SPRING MD
20901-4360
US

IV. Provider business mailing address

8601 MANCHESTER RD
SILVER SPRING MD
20901-4360
US

V. Phone/Fax

Practice location:
  • Phone: 202-244-4545
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU03275
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberJ0000091
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: