Individual provider Active NPI

Dennis R Travagline, CH

  • Chiropractor
  • Frederick, MD
National Provider Identifier
1093713281
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S02048 Issued in MD
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

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1584302OtherMDCAREFIRST BCBS
061718321OtherFIDELITY PMG
225097OtherKAISER-MID ATLANTIC
701713OtherNCPPO
061718321OtherHUMANA/CHOICE CARE
7923537OtherAETNA NON-HMO
4400799OtherAMERICHOICE
J571-0001OtherDCCAREFIRST
061718321OtherCIGNA
061718321OtherUNITED HEALTHCARE
2127202OtherMAMSI
2127202OtherOPTIMUM CHOICE
001955100MedicaidMD
061718321OtherINFORMED
105576OtherJOHN HOPKINS
2127202OtherMDIPA
2127202OtherALLIANCE
3501294OtherAETNA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616000216 MD Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 6204810351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
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

LicenseStateTypeSpecialty
S02048MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Chiropractic LLC Chiropractor CurrentSince May 1, 2004 Accepting new patients
Perry Hall Chiropractic & Physical Therapy LLC Chiropractor CurrentSince Nov 10, 2008 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Adolph Family Chiropractic, LLC-Perry Hall Chiropractor PastSince Nov 10, 2008 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.

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

Verify at the official NPI Registry.