Tiara Nashun Dolberry, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S04140 Issued in MD

Practice address

11159 Saint Christopher Dr
White Plains, MD 20695-4122

Phone

(253) 503-9507

NPI assigned

May 19, 2022

Last updated

Jul 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Artisan Chiropractic Clinic LLCGroup PAC ID 9537582366, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Artisan Chiropractic Clinic, LLC

  • Chiropractor
  • Hyattsville, MD
  • NPI 1447716899

  DC

  Medicare reassignment Care Compare group NPD
• Artisan Chiropractic Clinic, LLC

  • Chiropractor
  • Waldorf, MD
  • NPI 1013809136
  NPD (past)

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1053058149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11159 SAINT CHRISTOPHER DR",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206954122",
            "telephone_number": "253-503-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11159 SAINT CHRISTOPHER DR",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206954122",
            "telephone_number": "253-503-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLBERRY",
        "first_name": "TIARA",
        "middle_name": "NASHUN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S04140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lorenzo Diaz, CRNP
• Melissa Dismuke
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• Mellanie Simone Dockery
• Andrea J Donohoe, PA-C
• Dr Baig LLC
• Victoria Dube, CRNP
• Boma Fabia Ehanire, LCSW-C
• Mfon Ekanem

• Chiropractor in White Plains, MD
• Providers in White Plains, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.