Elite Spine and Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S02040 Issued in MD

Legal business name

ELITE SPINE AND WELLNESS

Practice address

2107 Laurel Bush Rd
Suite B
Bel Air, MD 21015-6181

Phone

(410) 569-7015

Fax

(410) 569-7017

NPI assigned

Aug 21, 2009

Organization subpart

No

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

Authorized official

Name

Craig Chavis, DCNPI 1528132115

Title

Owner

Phone

(410) 569-7015

Specialties & licenses 1

Addresses

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.

• Craig L Chavis, D.C.

  • Chiropractor
  • Bel Air, MD
  • NPI 1528132115
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1306078464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 LAUREL BUSH RD",
            "address_2": "SUITE B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156181",
            "telephone_number": "410-569-7015",
            "fax_number": "410-569-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 LAUREL BUSH RD",
            "address_2": "SUITE B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156181",
            "telephone_number": "410-569-7015",
            "fax_number": "410-569-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPINE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "CHAVIS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-569-7015",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S02040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ehome Counseling Management Partners
• Ehome Military
• Loren Ann Elchik, CRNP
• Cortney Elick, OTD, OTR/L
• Elite Spinal Health and Wellness LLC
• Elizabeth Harrison, DDS, LLC
• Elizabeth Roberts Counseling, LLC
• Chris E Elliott
• James Martin Elliott, PT CHT CERT MDT
• Bethany Lynn Ellis

• Chiropractor in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.