NPIMap

Organization Active NPI

Charles D. Cruickshank, D.C., P.a.

  • Clinic/Center
  • Baltimore, MD
National Provider Identifier
1013160456
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
S01776 Issued in MD
Legal business name
CHARLES D. CRUICKSHANK, D.C., P.A.
Doing business as
Baltimore Family Chiropractic
Practice address
8615 Ridgelys Choice Dr
104
Baltimore, MD 21236-3026
Phone
(410) 529-3913
Fax
(410) 529-3916
NPI assigned
Oct 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Charles David Cruickshank, D.C.
Title
Owner/President
Phone
(410) 529-3913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X S01776 MD Primary

Addresses

Primary practice location

8615 Ridgelys Choice Dr
104
Baltimore, MD 21236-3026

Mailing address

8615 Ridgelys Choice Dr
104
Baltimore, MD 21236-3026
Phone (410) 529-3913

Other identifiers 3

IdentifierTypeStateIssuer
691QOtherMDMEDICARE
M563OtherMDCAREFIRST BLUECROSS BLUESHIELD
W3720001OtherMDGHMSI

Other names 1

  • Baltimore Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1013160456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8615 RIDGELYS CHOICE DR",
            "address_2": "104",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363026",
            "telephone_number": "410-529-3913",
            "fax_number": "410-529-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 RIDGELYS CHOICE DR",
            "address_2": "104",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363026",
            "telephone_number": "410-529-3913",
            "fax_number": "410-529-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES D. CRUICKSHANK, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "CRUICKSHANK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "410-529-3913",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "S01776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "691Q",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECROSS BLUESHIELD",
            "identifier": "M563",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMSI",
            "identifier": "W3720001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baltimore Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 29, 2008; 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.