Organization Active NPI

Metro Area Chiropractic & Rehab

  • Chiropractor
  • Bowie, MD
National Provider Identifier
1275075160
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03415 Issued in MD
Legal business name
METRO AREA CHIROPRACTIC & REHAB
Practice address
2905 Mitchellville Rd
Suite 116
Bowie, MD 20716-1385
Phone
(301) 575-6549
Fax
(301) 352-4010
NPI assigned
Nov 9, 2016
Last updated
Nov 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Dr. Nathan Kennedy, D.C.NPI 1942337357
Title
Doctor
Phone
(301) 575-6549

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 S03415 MD Primary

Addresses

Primary practice location

2905 Mitchellville Rd
Suite 116
Bowie, MD 20716-1385

Mailing address

2905 Mitchellville Rd
Suite 116
Bowie, MD 20716-1385
Phone (301) 575-6549

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260114002060 DC Part B Supplier - Clinic/Group Practice 0042796567 Receives reassigned benefits from 1 practitioner
Practice locations: Bowie, MD

National Provider Directory

National Provider Directory

Locations

2905 Mitchellville Rd
Ste 116
Bowie, MD 20716
Phone (301) 575-6549

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": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1275075160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 MITCHELLVILLE RD",
            "address_2": "SUITE 116",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161385",
            "telephone_number": "301-575-6549",
            "fax_number": "301-352-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 MITCHELLVILLE RD",
            "address_2": "SUITE 116",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161385",
            "telephone_number": "301-575-6549",
            "fax_number": "301-352-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO AREA CHIROPRACTIC & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "301-575-6549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.