Active NPI
Alan K Sokoloff, D.C.
- Chiropractor
- Glen Burnie, MD
National Provider Identifier
1063538460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S01331
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD0972 | Other | MD | MBRR |
| E466 | Other | BSDC | |
| 6978412004 | Other | ASHN | |
| 101022 | Other | MD | JHHC |
| S756AL | Other | MD | BSMD |
| 22281 | Other | MD | ALLIANCE |
| 2736388 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1331 | MD | MD | Psychologist |
| S01331 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yc Clinic LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Glen Burnie, MD
- NPI 1588104764
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.