Organization Active NPI

Kay B O'Hara PA Eastern Chiropractic

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1144341702
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01499 Issued in MD
Legal business name
KAY B O'HARA PA EASTERN CHIROPRACTIC
Practice address
616 Eastern Blvd
Baltimore, MD 21221-4907
Phone
(410) 686-1117
Fax
(410) 686-1751
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Dr. Kay Ohara, D.C.NPI 1780760371
Title
Owner
Phone
(410) 686-1117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X S01499 MD Primary

Addresses

Primary practice location

616 Eastern Blvd
Baltimore, MD 21221-4907

Mailing address

616 Eastern Blvd
Baltimore, MD 21221
Phone (410) 686-1117

Other identifiers 2

IdentifierTypeStateIssuer
K104OtherMDCAREFIRST
T139 0001OtherMDCAREFIRST

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090813000066 MD Part B Supplier - Clinic/Group Practice 4688728470 Receives reassigned benefits from 1 practitioner
Practice locations: Essex, MD

National Provider Directory

National Provider Directory

Locations

616 Eastern Blvd
Essex, MD 21221
Phone (410) 274-2505

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1144341702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 EASTERN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21221",
            "telephone_number": "410-686-1117",
            "fax_number": "410-686-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 EASTERN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212214907",
            "telephone_number": "410-686-1117",
            "fax_number": "410-686-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAY B O'HARA PA EASTERN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "OHARA",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-686-1117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "K104",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "T139 0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 29, 2016; 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.