Pasadena Neck and Back Pain Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S01558 Issued in MD

Legal business name

PASADENA NECK AND BACK PAIN CENTER LLC

Practice address

8096 Edwin Raynor Blvd Ste a
Pasadena, MD 21122-6837

Phone

(410) 360-0014

Fax

(410) 360-0064

NPI assigned

Aug 26, 2005

Last updated

Apr 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raymond K Barry, DCNPI 1952590986

Title

Owner

Phone

(410) 360-0014

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

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.

• Raymond K Barry, D.C.

  • Chiropractor
  • Pasadena, MD
  • NPI 1952590986
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1235122086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8096 EDWIN RAYNOR BLVD STE A",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226837",
            "telephone_number": "410-360-0014",
            "fax_number": "410-360-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8096 EDWIN RAYNOR BLVD STE A",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226837",
            "telephone_number": "410-360-0014",
            "fax_number": "410-360-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA NECK AND BACK PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-360-0014",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Patient First Maryland Medical Group PLLC (Patient First Pasadena)
• Patient First Maryland Medical Group PLLC (Patient First - Pasadena)

• Chiropractor in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.