Active NPI
Mae Duba, DC
- Chiropractor
- Philadelphia, PA
National Provider Identifier
1114740917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC012126
- Practice address
- 2712 W Girard Ave
Philadelphia, PA 19130-1213 - Phone
- (605) 680-9751
- NPI assigned
- Nov 1, 2024
- Sex
- Female
- 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 | DC012126 | PA | Primary |
Addresses
Primary practice location
2712 W Girard Ave
Philadelphia, PA 19130-1213
Mailing address
890 N Judson St
Philadelphia, PA 19130-1937
Phone (605) 680-9751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241112003635 | MN | Practitioner - Chiropractic | 6709310808 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
603 3Rd St SE
Suite a
Kasson, MN 55944-2943
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC012126 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elmore Family Chiropractic Inc | Chiropractor | Current | Accepting new patients |
Locations
603 3rd St SE
Ste A
Kasson, MN 55944
Phone (507) 634-7288
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.
-
- Chiropractor
- Kasson, MN
- NPI 1790031938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1114740917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 N JUDSON ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191301937",
"telephone_number": "605-680-9751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2712 W GIRARD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191301213",
"telephone_number": "605-680-9751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBA",
"first_name": "MAE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-01",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC012126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.