NPIMap

Organization Active NPI

Main Street Chiropractic, LLC

  • Chiropractor
  • Elkridge, MD
National Provider Identifier
1144318825
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03465 Issued in MD
Legal business name
MAIN STREET CHIROPRACTIC, LLC
Practice address
5760 Main St
Elkridge, MD 21075-5019
Phone
(410) 579-1777
Fax
(410) 579-1778
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Janine Dinan, D.C.
Title
Resident Agent
Phone
(443) 851-1914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 03465 MD Primary

Addresses

Primary practice location

5760 Main St
Elkridge, MD 21075-5019

Mailing address

1819 Fairview Ave
Halethorpe, MD 21227-4509

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144318825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 FAIRVIEW AVE",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212274509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 MAIN ST",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755019",
            "telephone_number": "410-579-1777",
            "fax_number": "410-579-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DINAN",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "RESIDENT AGENT",
        "authorized_official_telephone_number": "443-851-1914",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.