Organization Active NPI

Atlas Family Chiropractic Center

  • Chiropractor
  • Columbia, MD
National Provider Identifier
1174794101
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ATLAS FAMILY CHIROPRACTIC CENTER
Practice address
7120 Minstrel Way Ste 104
Columbia, MD 21045-5274
Phone
(410) 290-8100
Fax
(410) 290-8101
NPI assigned
Mar 18, 2008
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Steven Thomas Mahoney, D.C.NPI 1730219031
Title
Owner
Phone
(410) 290-8100

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
Chiropractor 111N00000X MD Primary

Addresses

Primary practice location

7120 Minstrel Way Ste 104
Columbia, MD 21045-5274

Mailing address

7120 Minstrel Way Ste 104
Columbia, MD 21045-5274
Phone (410) 290-8100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040510000978 MD Part B Supplier - Clinic/Group Practice 7214926781 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MD

National Provider Directory

National Provider Directory

Locations

5560 Sterrett Pl
Ste 103
Columbia, MD 21044
Phone (410) 884-1177

7120 Minstrel Way
Ste 104
Columbia, MD 21045
Phone (410) 290-8100

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": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1174794101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 MINSTREL WAY STE 104",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455274",
            "telephone_number": "410-290-8100",
            "fax_number": "410-290-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 MINSTREL WAY STE 104",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455274",
            "telephone_number": "410-290-8100",
            "fax_number": "410-290-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS FAMILY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-290-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.