Active NPI
Dominick Rose, D.C.
- Chiropractor
- Baltimore, MD
National Provider Identifier
1164965653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S03898
- Practice address
- 220 W Cold Spring LN
Baltimore, MD 21210-2802 - Phone
- (443) 524-6600
- Fax
- (443) 524-6608
- NPI assigned
- Dec 1, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | S03898 | MD | Primary |
Addresses
Primary practice location
220 W Cold Spring LN
Baltimore, MD 21210-2802
Mailing address
220 W Cold Spring LN
Baltimore, MD 21210-2802
Phone (443) 524-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S03898 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Wellness Medical Center | Chiropractor | Current | Accepting new patients |
Locations
220 W Cold Spring Ln
Baltimore, MD 21210
Phone (443) 524-6600
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1164965653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 W COLD SPRING LN",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212102802",
"telephone_number": "443-524-6600",
"fax_number": "443-524-6608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 W COLD SPRING LN",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212102802",
"telephone_number": "443-524-6600",
"fax_number": "443-524-6608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "DOMINICK",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-01",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S03898",
"primary": true
}
],
"identifiers": [],
"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 Dec 1, 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.