Organization Active NPI

R T Poanellc

  • Rehabilitation Chiropractor
  • Bel Air, MD
National Provider Identifier
1184940710
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
SO1214 Issued in MD
Legal business name
R T POANELLC
Doing business as
Dr Poanes' Chiropractic & Allergy Treatment Center
Practice address
1 Barrington PL
Suite 108
Bel Air, MD 21014-5607
Phone
(410) 420-7676
Fax
(410) 420-7677
NPI assigned
Apr 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Dr. Robert Thomas Poane, D.C,NPI 1407945454
Title
Owner
Phone
(410) 420-7676

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X SO1214 MD Primary

Addresses

Primary practice location

1 Barrington PL
Suite 108
Bel Air, MD 21014-5607

Mailing address

1 Barrington PL
Suite 108
Bel Air, MD 21014-5607
Phone (410) 420-7676

Other names 1

  • Dr Poanes' Chiropractic & Allergy Treatment Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100506000079 MD Part B Supplier - Clinic/Group Practice 9032247481 Receives reassigned benefits from 1 practitioner
Practice locations: Bel Air, MD

National Provider Directory

National Provider Directory

Locations

1 Barrington Pl
Ste 108
Bel Air, MD 21014
Phone (410) 420-7676

Practitioners & affiliated clinicians

Practitioners 1

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": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1184940710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BARRINGTON PL",
            "address_2": "SUITE 108",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145607",
            "telephone_number": "410-420-7676",
            "fax_number": "410-420-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARRINGTON PL",
            "address_2": "SUITE 108",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145607",
            "telephone_number": "410-420-7676",
            "fax_number": "410-420-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R T POANELLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "POANE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-420-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C,"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "SO1214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Poanes' Chiropractic & Allergy Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.