NPIMap

Organization Active NPI

Artisan Chiropractic Clinic, LLC

  • Chiropractor
  • Waldorf, MD
National Provider Identifier
1013809136
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ARTISAN CHIROPRACTIC CLINIC, LLC
Practice address
11750 Business Park Dr Ste 206
Waldorf, MD 20601-2999
Phone
(240) 341-0005
NPI assigned
Jul 15, 2025
Last updated
Jul 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Yetunde OniNPI 1669825337
Title
Owner
Phone
(240) 341-0005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

11750 Business Park Dr Ste 206
Waldorf, MD 20601-2999

Mailing address

4301 Garden City Dr Ste 205
Hyattsville, MD 20785-2365

National Provider Directory

National Provider Directory
Tax ID family
Artisan Chiropractic Clinic LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11750 Business Park Dr
Ste 206
Waldorf, MD 20601
Phone (240) 341-0005

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1013809136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 GARDEN CITY DR STE 205",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 BUSINESS PARK DR STE 206",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012999",
            "telephone_number": "240-341-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTISAN CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "ONI",
        "authorized_official_first_name": "YETUNDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-341-0005"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.