Organization Active NPI

Elevate Life Women's, LLC

  • Chiropractor
  • Annapolis, MD
National Provider Identifier
1174132732
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ELEVATE LIFE WOMEN'S, LLC
Practice address
1730 West St Unit 205
Annapolis, MD 21401-3764
Phone
(410) 268-3333
Fax
(410) 268-3305
NPI assigned
Jul 29, 2020
Last updated
Mar 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Daniel Johns, DC
Title
Owner/Ceo
Phone
(410) 268-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1730 West St Unit 205
Annapolis, MD 21401-3764

Mailing address

1730 West St Unit 205
Annapolis, MD 21401-3764

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@elevatelifeclinic.com

National Provider Directory

National Provider Directory

Locations

1730 West St
Unit 205
Annapolis, MD 21401
Phone (410) 268-3333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1174132732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 WEST ST UNIT 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 WEST ST UNIT 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013764",
            "telephone_number": "410-268-3333",
            "fax_number": "410-268-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE LIFE WOMEN'S, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "410-268-3333",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@elevatelifeclinic.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1730 West St Unit 205",
            "city": "Annapolis",
            "state": "MD",
            "country_code": "US",
            "postal_code": "214013764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.