Individual provider Active NPI

Alan K Sokoloff, D.C.

  • Chiropractor
  • Glen Burnie, MD
National Provider Identifier
1063538460
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01331 Issued in MD
Practice address
331 Oak Manor Dr
Suite 201
Glen Burnie, MD 21061-5508
Phone
(443) 749-0001
Fax
(443) 749-0011
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 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 S01331 MD Primary

Addresses

Primary practice location

331 Oak Manor Dr
Suite 201
Glen Burnie, MD 21061-5508

Mailing address

331 Oak Manor Dr
Suite 201
Glen Burnie, MD 21061-5548
Phone (443) 749-0001

Other identifiers 7

IdentifierTypeStateIssuer
DD0972OtherMDMBRR
E466OtherBSDC
6978412004OtherASHN
101022OtherMDJHHC
S756ALOtherMDBSMD
22281OtherMDALLIANCE
2736388OtherAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119000999 MD Practitioner - Chiropractic 4082655642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yc Clinic LLCGroup PAC ID 9638110299, 5 clinicians

Practice addresses (Care Compare)

331 Oak Manor Dr
Glen Burnie, MD 21061-5548

331 Oak Manor Dr
Suite 101
Glen Burnie, MD 21061-5553
Phone (410) 766-4878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1331MDMDPsychologist
S01331MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Yc Clinic LLC Chiropractor CurrentSince Jan 1, 1975 Accepting new patients
Yalich Clinic Chiropractor Past Accepting new patients
Yc Clinic LLC Chiropractor Past Accepting new patients

Locations

331 Oak Manor Dr
Ste 101
Glen Burnie, MD 21061
Phone (410) 766-4878

Organizations & group practices 3

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1063538460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 OAK MANOR DR",
            "address_2": "SUITE 201",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615548",
            "telephone_number": "443-749-0001",
            "fax_number": "443-749-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 OAK MANOR DR",
            "address_2": "SUITE 201",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615508",
            "telephone_number": "443-749-0001",
            "fax_number": "443-749-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOLOFF",
        "first_name": "ALAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBRR",
            "identifier": "DD0972",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSDC",
            "identifier": "E466",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "6978412004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHHC",
            "identifier": "101022",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSMD",
            "identifier": "S756AL",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "22281",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2736388",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.