Organization Active NPI

Sigafoose Chiropractic Center

  • Chiropractor
  • Edgewood, MD
National Provider Identifier
1275751695
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01393 Issued in MD
Legal business name
SIGAFOOSE CHIROPRACTIC CENTER
Practice address
2005 Pulaski Hwy
Edgewood, MD 21040
Phone
(410) 679-0022
Fax
(410) 676-8109
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Dr. Daun A. Sigafoose, D.C.NPI 1336265552
Title
Owner
Phone
(410) 679-0022

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01393 MD Primary

Addresses

Primary practice location

2005 Pulaski Hwy
Edgewood, MD 21040

Mailing address

2005 Pulaski Hwy
Edgewood, MD 21040
Phone (410) 679-0022

Other identifiers 2

IdentifierTypeStateIssuer
W0880001OtherMDBCBS PROVIDER
41047501OtherMDBCBS RENDERING

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150226000497 MD Part B Supplier - Clinic/Group Practice 6204152846 Receives reassigned benefits from 1 practitioner
Practice locations: Edgewood, MD

National Provider Directory

National Provider Directory

Locations

2005 Pulaski Hwy
Edgewood, MD 21040
Phone (410) 679-0022

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1275751695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 PULASKI HWY",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "21040",
            "telephone_number": "410-679-0022",
            "fax_number": "410-676-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 PULASKI HWY",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "21040",
            "telephone_number": "410-679-0022",
            "fax_number": "410-676-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGAFOOSE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "SIGAFOOSE",
        "authorized_official_first_name": "DAUN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-679-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "W0880001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  RENDERING",
            "identifier": "41047501",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.