Spring Ridge Chiropractic of Boonsboro LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPRING RIDGE CHIROPRACTIC OF BOONSBORO LLC

Practice address

20311 Lappans Rd Unit 102
Boonsboro, MD 21713-2086

Phone

(301) 620-8566

Fax

(301) 620-8568

NPI assigned

Jun 28, 2022

Last updated

Jun 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa D Ortiz, DCNPI 1366471740

Title

Owner/Dr

Phone

(301) 620-8566

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 3

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.

• Lisa Ortiz

  • Chiropractor
  • Frederick, MD
  • NPI 1366471740
  Medicare reassignment Care Compare group NPD Authorized official
• Christopher Hinchman, D.C.

  • Chiropractor
  • Frederick, MD
  • NPI 1689600355
  Medicare reassignment Care Compare group NPD
• Charlie Phares, DC

  • Chiropractor
  • Cumberland, MD
  • NPI 1497109920
  Medicare reassignment NPD

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1083346159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20311 LAPPANS RD UNIT 102",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217132086",
            "telephone_number": "301-620-8566",
            "fax_number": "301-620-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 LAPPANS RD UNIT 102",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217132086",
            "telephone_number": "301-620-8566",
            "fax_number": "301-620-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING RIDGE CHIROPRACTIC OF BOONSBORO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DR",
        "authorized_official_telephone_number": "301-620-8566",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "S01856",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "S04024",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "S01857",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@springridgechiropractic.com",
            "affiliation": "N",
            "endpointDescription": "billing@springridgechiropractic.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20311 Lappans Rd Unit 102",
            "city": "Boonsboro",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217132086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Chiropractor in Boonsboro, MD
• Providers in Boonsboro, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.