Organization Active NPI

Frederick Chiropractic Wellness Center, Inc.

  • Chiropractor
  • Frederick, MD
National Provider Identifier
1164527040
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
02061 Issued in MD
Legal business name
FREDERICK CHIROPRACTIC WELLNESS CENTER, INC.
Practice address
5301 Buckeystown Pike Ste 210
Frederick, MD 21704-8365
Phone
(301) 695-0032
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Dr. Deborah Morrone, D.C.NPI 1043324619
Title
Owner
Phone
(301) 695-0032

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 02061 MD Primary

Addresses

Primary practice location

5301 Buckeystown Pike Ste 210
Frederick, MD 21704-8365

Mailing address

5301 Buckeystown Pike Ste 210
Frederick, MD 21704-8365
Phone (301) 695-0032

Other practice location 1

425 E Patrick St
Frederick, MD 21701-5709
Phone (301) 695-0032

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070305000646 MD Part B Supplier - Clinic/Group Practice 2567565989 Receives reassigned benefits from 2 practitioners
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1164527040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 BUCKEYSTOWN PIKE STE 210",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048365",
            "telephone_number": "301-695-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 BUCKEYSTOWN PIKE STE 210",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048365",
            "telephone_number": "301-695-0032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 E Patrick St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217015709",
            "country_code": "US",
            "telephone_number": "301-695-0032",
            "fax_number": "301-695-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREDERICK CHIROPRACTIC WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "MORRONE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-695-0032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "02061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.