Active NPI
David Shane Cradic, D.C.
- Chiropractor
- Silver Spring, MD
National Provider Identifier
1134326515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 03425
- Practice address
- 8701 Georgia Ave Ste 507
Silver Spring, MD 20910-3723 - Phone
- (301) 608-1545
- NPI assigned
- Jun 29, 2007
- Last updated
- Apr 30, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 03425 | MD | Primary |
Addresses
Primary practice location
8701 Georgia Ave Ste 507
Silver Spring, MD 20910-3723
Mailing address
8701 Georgia Ave
Ste 507
Silver Spring, MD 20910-3723
Phone (678) 360-7669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8701 Georgia Ave
Suite 507
Silver Spring, MD 20910-3723
Phone (678) 360-7669
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03425 | MD | MD | Psychologist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Altacare Chiropractic and Rehabilitation
- Chiropractor
- Silver Spring, MD
- NPI 1235369935
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1134326515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8701 GEORGIA AVE",
"address_2": "STE 507",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103723",
"telephone_number": "678-360-7669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 GEORGIA AVE STE 507",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103723",
"telephone_number": "301-608-1545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRADIC",
"first_name": "DAVID",
"middle_name": "SHANE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "03425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.