Individual provider Active NPI

Mae Duba, DC

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1114740917
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC012126 Issued in PA
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

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
DC012126PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elmore Family Chiropractic Inc Chiropractor CurrentSince Nov 4, 2024 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.

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.

Verify at the official NPI Registry.