Active NPI
Dennis R Travagline, CH
- Chiropractor
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S02048
- Practice address
- 4 S McCain Dr
Unit 8
Frederick, MD 21703-6093 - Phone
- (301) 624-0024
- Fax
- (301) 624-0026
- NPI assigned
- Jul 12, 2005
- 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 | S02048 | MD | Primary |
Addresses
Primary practice location
4 S McCain Dr
Unit 8
Frederick, MD 21703-6093
Mailing address
4 S McCain Dr
Unit 8
Frederick, MD 21703-6093
Phone (301) 624-0024
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1584302 | Other | MD | CAREFIRST BCBS |
| 061718321 | Other | FIDELITY PMG | |
| 225097 | Other | KAISER-MID ATLANTIC | |
| 701713 | Other | NCPPO | |
| 061718321 | Other | HUMANA/CHOICE CARE | |
| 7923537 | Other | AETNA NON-HMO | |
| 4400799 | Other | AMERICHOICE | |
| J571-0001 | Other | DC | CAREFIRST |
| 061718321 | Other | CIGNA | |
| 061718321 | Other | UNITED HEALTHCARE | |
| 2127202 | Other | MAMSI | |
| 2127202 | Other | OPTIMUM CHOICE | |
| 001955100 | Medicaid | MD | |
| 061718321 | Other | INFORMED | |
| 105576 | Other | JOHN HOPKINS | |
| 2127202 | Other | MDIPA | |
| 2127202 | Other | ALLIANCE | |
| 3501294 | Other | AETNA HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8817 Belair Rd
Suite 101
Baltimore, MD 21236-2445
Phone (410) 256-9650
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S02048 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Perry Hall Chiropractic & Physical Therapy LLC | Chiropractor | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Adolph Family Chiropractic, LLC-Perry Hall | Chiropractor | Past | Accepting new patients |
Locations
110 Baughmans Ln
Ste 200
Frederick, MD 21702
Phone (301) 624-0024
4 S McCain Dr
Ste 8
Frederick, MD 21703
Phone (301) 624-0024
8817 Belair Rd
Ste 101
Nottingham, MD 21236
Phone (410) 256-9650
Organizations & group practices 4
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
- Baltimore, MD
- NPI 1457504318
-
- Chiropractor
- Frederick, MD
- NPI 1629260575
-
- Rehabilitation Chiropractor
- Baltimore, MD
- NPI 1619004223
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1093713281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 S MCCAIN DR",
"address_2": "UNIT 8",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217036093",
"telephone_number": "301-624-0024",
"fax_number": "301-624-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 S MCCAIN DR",
"address_2": "UNIT 8",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217036093",
"telephone_number": "301-624-0024",
"fax_number": "301-624-0026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVAGLINE",
"first_name": "DENNIS",
"middle_name": "R",
"credential": "CH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S02048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "1584302",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELITY PMG",
"identifier": "061718321",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER-MID ATLANTIC",
"identifier": "225097",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "701713",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA/CHOICE CARE",
"identifier": "061718321",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON-HMO",
"identifier": "7923537",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "4400799",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "J571-0001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "061718321",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "061718321",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2127202",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM CHOICE",
"identifier": "2127202",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001955100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INFORMED",
"identifier": "061718321",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN HOPKINS",
"identifier": "105576",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA",
"identifier": "2127202",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE",
"identifier": "2127202",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3501294",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.