Individual provider Active NPI

Jacob A Becker, DC

  • Chiropractor
  • Parkville, MD
National Provider Identifier
1235653817
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03936 Issued in MD
Practice address
8838 Waltham Woods Rd
Parkville, MD 21234-2402
Phone
(410) 668-4000
NPI assigned
Jul 26, 2017
Last updated
Feb 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S03936 MD Primary

Addresses

Primary practice location

8838 Waltham Woods Rd
Parkville, MD 21234-2402

Mailing address

683 Old Mill Rd
Millersville, MD 21108-1326

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.friemanchiro.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190131001653 MD Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 2365789179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Robert G Frieman D.C.P.a.Group PAC ID 6406862127, 2 clinicians

Practice addresses (Care Compare)

8838 Waltham Woods Rd
Baltimore, MD 21234-2402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S03936MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Robert G Frieman DC PA Chiropractor CurrentSince Aug 24, 2022 Accepting new patients
Dr. Stewart S. Loeb, PC Chiropractor PastSince Mar 30, 2019 Accepting new patients

Locations

8838 Waltham Woods Rd
Parkville, MD 21234
Phone (410) 668-4000

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1235653817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 OLD MILL RD",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8838 WALTHAM WOODS RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342402",
            "telephone_number": "410-668-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JACOB",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.friemanchiro.com/",
            "affiliation": "N",
            "endpointDescription": "primary office website",
            "address_1": "8838 Waltham Woods Rd",
            "city": "Parkville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212342402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

Verify at the official NPI Registry.