Individual provider Active NPI

Vaughan Dabbs, D.C.

  • Chiropractor
  • Columbia, MD
National Provider Identifier
1003916222
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01339 Issued in MD
Practice address
8600 Snowden River Pkwy
Suite 101
Columbia, MD 21045-1982
Phone
(410) 720-5555
Fax
(410) 381-4653
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S01339 MD Primary

Addresses

Primary practice location

8600 Snowden River Pkwy
Suite 101
Columbia, MD 21045-1982

Mailing address

7008 Woodscape Dr
Clarksville, MD 21029-1600
Phone (410) 531-6091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110128000071 MD Practitioner - Chiropractic 8426037870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Center of Maryland LLCGroup PAC ID 1355320706, 3 clinicians

Practice addresses (Care Compare)

8600 Snowden River Pkwy
Suite 101
Columbia, MD 21045-1983
Phone (410) 720-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S01339MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Center of Maryland LLC Chiropractor CurrentSince Feb 1, 2000 Accepting new patients
Rehab Center of Maryland, Corp. PastSince Sep 21, 2004 Accepting new patients

Locations

6955 Oakland Mills Rd
Ste N
Columbia, MD 21045
Phone (410) 290-9990

8600 Snowden River Pkwy
Ste 101
Columbia, MD 21045
Phone (410) 720-5555

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1003916222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7008 WOODSCAPE DR",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291600",
            "telephone_number": "410-531-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SNOWDEN RIVER PKWY",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451982",
            "telephone_number": "410-720-5555",
            "fax_number": "410-381-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABBS",
        "first_name": "VAUGHAN",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01339",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.