NPIMap

Organization Active NPI

Ballenger Chiropractic, P.a.

  • Chiropractor
  • Timonium, MD
National Provider Identifier
1285721498
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01982 Issued in MD
Legal business name
BALLENGER CHIROPRACTIC, P.A.
Practice address
9632 Deereco Rd
Timonium, MD 21093-2120
Phone
(410) 252-1000
Fax
(410) 252-6809
NPI assigned
Oct 7, 2006
Last updated
Dec 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Dr. David Jon Ballenger, D.C.NPI 1407855497
Title
President
Phone
(410) 252-1000

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 S01982 MD Primary

Addresses

Primary practice location

9632 Deereco Rd
Timonium, MD 21093-2120

Mailing address

9632 Deereco Rd
Timonium, MD 21093-2120
Phone (410) 252-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080325000641 MD Part B Supplier - Clinic/Group Practice 2466538822 Receives reassigned benefits from 3 practitioners
Practice locations: Timonium, MD

National Provider Directory

National Provider Directory

Locations

9632 Deereco Rd
Timonium, MD 21093
Phone (410) 252-1000

Practitioners & affiliated clinicians

Practitioners 3

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": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1285721498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9632 DEERECO RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932120",
            "telephone_number": "410-252-1000",
            "fax_number": "410-252-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9632 DEERECO RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932120",
            "telephone_number": "410-252-1000",
            "fax_number": "410-252-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLENGER CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "BALLENGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-252-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.