Organization Active NPI

Carney Chiropractic Center,LLC

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1073693602
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01148 Issued in MD
Legal business name
CARNEY CHIROPRACTIC CENTER,LLC
Practice address
9403 Harford Rd
Suite 1
Baltimore, MD 21234-3123
Phone
(410) 882-0720
Fax
(410) 882-6767
NPI assigned
Oct 17, 2006
Last updated
Feb 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Dr. Joel Jay Goldwasser, D.C.NPI 1508946187
Title
Owner
Phone
(410) 882-0720

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01148 MD Primary

Addresses

Primary practice location

9403 Harford Rd
Suite 1
Baltimore, MD 21234-3123

Mailing address

9403 Harford Rd
Suite 1
Baltimore, MD 21234-3123
Phone (410) 882-0720

Other identifiers 6

IdentifierTypeStateIssuer
2135931OtherMDUNITED HEALTH CARE
R268OtherMDBLUECROSS FEDERAL
245561OtherMDKAISER
483053OtherMDAETNA
M293CAOtherMDBLUECROSS/BLUESHIELD
107089OtherMDJOHNS HOPKINS HEALTH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1073693602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9403 HARFORD RD",
            "address_2": "SUITE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212343123",
            "telephone_number": "410-882-0720",
            "fax_number": "410-882-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9403 HARFORD RD",
            "address_2": "SUITE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212343123",
            "telephone_number": "410-882-0720",
            "fax_number": "410-882-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNEY CHIROPRACTIC CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "GOLDWASSER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-882-0720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2135931",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS FEDERAL",
            "identifier": "R268",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "245561",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "483053",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "M293CA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS HEALTH",
            "identifier": "107089",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 13, 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.