Organization Active NPI

Planet Chiropractic, P.C.

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1134848120
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PLANET CHIROPRACTIC, P.C.
Practice address
1261 W Pratt St Ste D
Baltimore, MD 21223-2666
Phone
(443) 842-5500
NPI assigned
Aug 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Jessica Whitten
Title
Billing Manager
Phone
(443) 842-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1261 W Pratt St Ste D
Baltimore, MD 21223-2666

Mailing address

PO Box 69549
Baltimore, MD 21264-9549
Phone (443) 842-5500

Other names 1

  • Mid-Atlantic Spinal Rehab & Chiropractic - Mt. Clare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231121001475 MD Part B Supplier - Clinic/Group Practice 5395193940 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

1261 W Pratt St
Ste D
Baltimore, MD 21223

1261 W Pratt St
Baltimore, MD 21223
Phone (410) 244-1717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1134848120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69549",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649549",
            "telephone_number": "443-842-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 W PRATT ST STE D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232666",
            "telephone_number": "443-842-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANET CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "WHITTEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "443-842-5500"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-Atlantic Spinal Rehab & Chiropractic - Mt. Clare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mid-Atlantic Spinal Rehab & Chiropractic - Mt. Clare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.