Active NPI
D Shane Cradic DC LLC
- Chiropractor
- Silver Spring, MD
National Provider Identifier
1235369935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 03425
- Legal business name
- D SHANE CRADIC DC LLC
- Practice address
- 8701 Georgia Ave
Suite 507
Silver Spring, MD 20910-3713 - Phone
- (301) 608-1545
- Fax
- (301) 608-1547
- NPI assigned
- Jul 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David S. Cradic, D.C.
- Title
- Managing Member
- Phone
- (301) 608-1545
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 03425 | MD | Primary |
Addresses
Primary practice location
8701 Georgia Ave
Suite 507
Silver Spring, MD 20910-3713
Mailing address
8701 Georgia Ave
Suite 507
Silver Spring, MD 20910-3713
Phone (301) 608-1545
Other names 1
- Altacare Chiropractic and Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8701 Georgia Ave
Ste 507
Silver Spring, MD 20910
Phone (301) 608-1545
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": "1247702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247702400000",
"number": "1235369935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8701 GEORGIA AVE",
"address_2": "SUITE 507",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103713",
"telephone_number": "301-608-1545",
"fax_number": "301-608-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 GEORGIA AVE",
"address_2": "SUITE 507",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103713",
"telephone_number": "301-608-1545",
"fax_number": "301-608-1547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D SHANE CRADIC DC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-16",
"last_updated": "2009-07-16",
"status": "A",
"authorized_official_last_name": "CRADIC",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "301-608-1545",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MD",
"license": "03425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Altacare Chiropractic and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.