Organization Active NPI

Mody & Miller, M.D., P.a.

  • Neurology Chiropractor
  • Glen Burnie, MD
National Provider Identifier
1194842567
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
Legal business name
MODY & MILLER, M.D., P.A.
Practice address
7310 Ritchie Hwy
Suite 710
Glen Burnie, MD 21061-3065
Phone
(410) 760-5599
Fax
(410) 760-3917
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Dr. Harshad R. Mody, M.D.
Title
President
Phone
(410) 760-5599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X Primary

Addresses

Primary practice location

7310 Ritchie Hwy
Suite 710
Glen Burnie, MD 21061-3065

Mailing address

7310 Ritchie Hwy
Suite 710
Glen Burnie, MD 21061-3065
Phone (410) 760-5599

Other identifiers 3

IdentifierTypeStateIssuer
652741800MedicaidMD
083421100MedicaidMD
779301400MedicaidMD

National Provider Directory

National Provider Directory

Locations

1406 Crain Hwy S
Ste 200
Glen Burnie, MD 21061
Phone (410) 760-5599

7310 Ritchie Hwy
Ste 710
Glen Burnie, MD 21061
Phone (301) 760-5599

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1194842567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HWY",
            "address_2": "SUITE 710",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613065",
            "telephone_number": "410-760-5599",
            "fax_number": "410-760-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HWY",
            "address_2": "SUITE 710",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613065",
            "telephone_number": "410-760-5599",
            "fax_number": "410-760-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODY & MILLER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "MODY",
        "authorized_official_first_name": "HARSHAD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-760-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "652741800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083421100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "779301400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.