The Baltimore Back Pain Clinic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S01182 Issued in MD

Legal business name

THE BALTIMORE BACK PAIN CLINIC, INC.

Practice address

1719 Fleet St
Baltimore, MD 21231-2443

Phone

(410) 675-3332

Fax

(410) 675-3903

NPI assigned

Feb 16, 2012

Organization subpart

No

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

Authorized official

Name

Joseph Patrick Hughes

Title

President

Phone

(410) 675-3332

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1124391446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 FLEET ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212312443",
            "telephone_number": "410-675-3332",
            "fax_number": "410-675-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 FLEET ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212312443",
            "telephone_number": "410-675-3332",
            "fax_number": "410-675-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BALTIMORE BACK PAIN CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-675-3332"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.