Individual provider Active NPI

Randy Harclerode, DC

  • Chiropractor
  • Laurel, MD
National Provider Identifier
1295591477
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04208 Issued in MD
Practice address
9385 Washington Blvd N Ste B-C
Laurel, MD 20723-1381
Phone
(240) 749-6821
NPI assigned
Feb 26, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04208 MD Primary

Addresses

Primary practice location

9385 Washington Blvd N Ste B-C
Laurel, MD 20723-1381

Mailing address

9385 Washington Blvd N Ste B-C
Laurel, MD 20723-1381
Phone (240) 749-6821

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729004364 MD Practitioner - Chiropractic 6507373024 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greensfelder Chiropractic, Inc. Chiropractor CurrentSince Jul 16, 2025 Accepting new patients

Locations

1350 Blair Dr
Ste Hh
Odenton, MD 21113
Phone (410) 674-8605

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1295591477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9385 WASHINGTON BLVD N STE B-C",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231381",
            "telephone_number": "240-749-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9385 WASHINGTON BLVD N STE B-C",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231381",
            "telephone_number": "240-749-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARCLERODE",
        "first_name": "RANDY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "04208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.