Nicole Marie Gangl Perez, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S03716 Issued in MD

Practice address

331 Oak Manor Dr Ste 101
Glen Burnie, MD 21061-5553

Phone

(410) 766-4878

NPI assigned

May 17, 2006

Last updated

Aug 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Potential Chiropractic and Physical TherapyGroup PAC ID 9032644398, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peak Potential Chiropractic and Physical Therapy

  • Chiropractor
  • Severna Park, MD
  • NPI 1184470825
  Medicare reassignment Care Compare group NPD
• Yc Clinic LLC

  dba Yalich Clinic of Glen Burnie

  • Chiropractor
  • Glen Burnie, MD
  • NPI 1689790560
  Medicare reassignment NPD
• Kennard Chiropractic & Physical Therapy

  • Rehabilitation Chiropractor
  • Severna Park, MD
  • NPI 1750573051
  NPD
• Gangl Chiropractic Inc

  • Clinic/Center
  • Elk River, MN
  • NPI 1558304337

  Chiropractor

  NPD
• Family Wellness Center of C G P.a.

  dba The New Art of Chiropractic

  • Chiropractor
  • Cottage Grove, MN
  • NPI 1427097849
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1144272873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 OAK MANOR DR STE 101",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615553",
            "telephone_number": "410-766-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 OAK MANOR DR STE 101",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615553",
            "telephone_number": "410-766-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGL PEREZ",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "649470000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shyann Leigh Gajcowski
• Mineille N Gakuu
• Jane Ann Galbreath, PT
• Zenda Galloway, ADT
• Jessica Rose Galvez, PT, DPT
• Laurie Ganley
• Patricia Geiger Gao, M.D.
• Karen Garcia
• Mary Elizabeth Gardner, R.N.
• Allan Victor Garfinkel, DDS

• Chiropractor in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.