Individual provider Active NPI

Logan Flanery, DC

  • Chiropractor
  • Rockville, MD
National Provider Identifier
1215744180
Registry record updated Dec 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04218 Issued in MD
Practice address
10036 Darnestown Rd
Rockville, MD 20850-3313
Phone
(240) 875-5589
NPI assigned
Dec 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04218 MD Primary

Addresses

Primary practice location

10036 Darnestown Rd
Rockville, MD 20850-3313

Mailing address

9900 Shelburne Ter Apt 411
Gaithersburg, MD 20878-5304
Phone (520) 912-1610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250207000537 DC Practitioner - Chiropractic 7719417625 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04218MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Palmercare Chiropractic Chantilly LLC Chiropractor CurrentSince Feb 1, 2025 Accepting new patients

Locations

3910 Centreville Rd
Ste 202
Chantilly, VA 20151
Phone (703) 378-2698

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734134400000",
    "number": "1215744180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 SHELBURNE TER APT 411",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785304",
            "telephone_number": "520-912-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10036 DARNESTOWN RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503313",
            "telephone_number": "240-875-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANERY",
        "first_name": "LOGAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-14",
        "last_updated": "2024-12-14",
        "certification_date": "2024-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "04218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2024; 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.