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Organization Active NPI

Concord Point Chiropractic Center LLC

  • Chiropractor
  • Havre de Grace, MD
National Provider Identifier
1003142308
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01597 Issued in MD
Legal business name
CONCORD POINT CHIROPRACTIC CENTER LLC
Practice address
608 S Union Ave
Havre de Grace, MD 21078-3462
Phone
(410) 939-2009
NPI assigned
Oct 22, 2009
Last updated
Jan 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Terrance Fenerty, D.C.
Title
Doctor of Chiropractic
Phone
(410) 939-2009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X S01597 MD Primary

Addresses

Primary practice location

608 S Union Ave
Havre de Grace, MD 21078-3462

Mailing address

PO Box 179
Havre de Grace, MD 21078-0179
Phone (410) 939-2009

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1003142308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210780179",
            "telephone_number": "410-939-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 S UNION AVE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783462",
            "telephone_number": "410-939-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD POINT CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "FENERTY",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "410-939-2009",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.