Individual provider Active NPI

Katharine Lee Sparrazza Neubaum, DC

  • Chiropractor
  • Bel Air, MD
National Provider Identifier
1083133128
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03911 Issued in MD
Practice address
1035 Emmorton Rd
Bel Air, MD 21014-5469
Phone
(410) 569-5969
Fax
(410) 569-4454
NPI assigned
Sep 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S03911 MD Primary

Addresses

Primary practice location

1035 Emmorton Rd
Bel Air, MD 21014-5469

Mailing address

1035 Emmorton Rd
Bel Air, MD 21014-5469
Phone (410) 569-5969

Other names 1

  • Katharine Sparrazza Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171102000640 MD Practitioner - Chiropractic 7012273345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neubaum Wellness Group LLCGroup PAC ID 3779913215, 4 clinicians

Practice addresses (Care Compare)

1035 Emmorton Rd
Bel Air, MD 21014-5469
Phone (410) 399-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neubaum Wellness Group LLC Chiropractor CurrentSince Jan 24, 2020 Accepting new patients

Locations

1035 Emmorton Rd
Bel Air, MD 21014
Phone (410) 399-2225

Organizations & group practices 1

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": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1083133128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 EMMORTON RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145469",
            "telephone_number": "410-569-5969",
            "fax_number": "410-569-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 EMMORTON RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145469",
            "telephone_number": "410-569-5969",
            "fax_number": "410-569-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUBAUM",
        "first_name": "KATHARINE",
        "middle_name": "LEE SPARRAZZA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-10",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHARINE",
            "last_name": "SPARRAZZA",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.