Organization Active NPI

Germantown Chiropractic LLC

  • Chiropractor
  • Germantown, MD
National Provider Identifier
1225616568
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GERMANTOWN CHIROPRACTIC LLC
Practice address
19508 Doctors Dr
Germantown, MD 20874-5200
Phone
(301) 540-3111
NPI assigned
Mar 30, 2021
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Sima Soltani, DCNPI 1417462094
Title
Doctor
Phone
(517) 402-9696

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 NU Primary

Addresses

Primary practice location

19508 Doctors Dr
Germantown, MD 20874-5200

Mailing address

19508 Doctors Dr
Germantown, MD 20874-5200
Phone (301) 540-3111

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Germantown

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210429000066 DC Part B Supplier - Clinic/Group Practice 2466861679 Receives reassigned benefits from 1 practitioner
Practice locations: Germantown, MD

National Provider Directory

National Provider Directory

Locations

19508 Doctors Dr
Germantown, MD 20874
Phone (301) 540-3111

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": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1225616568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19508 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745200",
            "telephone_number": "301-540-3111",
            "fax_number": "240-837-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19508 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745200",
            "telephone_number": "301-540-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2023-09-06",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "SOLTANI",
        "authorized_official_first_name": "SIMA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "517-402-9696",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Germantown",
            "affiliation": "N",
            "address_1": "19508 Doctors Dr",
            "city": "Germantown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208745200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.