Head,Neck & Back Pain Center P.a.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

SO1450 Issued in MD

Legal business name

HEAD,NECK & BACK PAIN CENTER P.A.

Practice address

1703 E Joppa Rd
First Floor
Baltimore, MD 21234-3638

Phone

(410) 665-6666

Fax

(410) 882-1264

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Robert Silverman, CHIROPRACTORNPI 1376665141

Title

Clinic Director

Phone

(410) 665-6666

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HEAD,NECK&BACK PAIN CENTER P.A. Doing business as

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.

• Mitchell Robert Silverman, D.C.

  • Sports Physician Chiropractor
  • Baltimore, MD
  • NPI 1376665141
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1255544409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 E JOPPA RD",
            "address_2": "FIRST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212343638",
            "telephone_number": "410-665-6666",
            "fax_number": "410-882-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 E JOPPA RD",
            "address_2": "FIRST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212343638",
            "telephone_number": "410-665-6666",
            "fax_number": "410-882-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD,NECK & BACK PAIN CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "SILVERMAN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "410-665-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MD",
            "license": "SO1450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "52641",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEAD,NECK&BACK PAIN CENTER P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sports Physician Chiropractor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Sports Physician Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.