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Organization Active NPI

MJD Chiropractic LLC

Doing business as Mid Atlantic Spinal Rehab & Chiropractic PC

  • Medical Specialty Clinic/Center
  • Baltimore, MD
National Provider Identifier
1184288003
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MJD CHIROPRACTIC LLC
Doing business as
Mid Atlantic Spinal Rehab & Chiropractic PC
Practice address
6666 Security Blvd Ste 4
Baltimore, MD 21207-4025
Phone
(443) 842-5500
NPI assigned
Apr 25, 2019
Last updated
Apr 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Diana K Sandoval Aguirre
Title
Practice Manager
Phone
(443) 447-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

6666 Security Blvd Ste 4
Baltimore, MD 21207-4025

Mailing address

6666 Security Blvd Ste 4
Baltimore, MD 21207-4025
Phone (443) 842-5500

Other names 1

  • Mid Atlantic Spinal Rehab & Chiropractic PC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1184288003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6666 SECURITY BLVD STE 4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074025",
            "telephone_number": "443-842-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6666 SECURITY BLVD STE 4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074025",
            "telephone_number": "443-842-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJD CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL AGUIRRE",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "443-447-2000"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Atlantic Spinal Rehab & Chiropractic PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 25, 2019; 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.