Organization Active NPI

Gemma Highlandtown Chiropractic

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1306941489
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1563PT Issued in MD
Legal business name
GEMMA HIGHLANDTOWN CHIROPRACTIC
Practice address
3858 E Lombard St
Baltimore, MD 21224
Phone
(410) 327-3003
Fax
(410) 327-3035
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Dr. Paul Andrew Gemma, DCNPI 1548445794
Title
Owner President
Phone
(410) 327-3003

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 1563PT MD Primary

Addresses

Primary practice location

3858 E Lombard St
Baltimore, MD 21224

Mailing address

3858 E Lombard St
Baltimore, MD 21224
Phone (410) 327-3003

Other identifiers 1

IdentifierTypeStateIssuer
220938100MedicaidMD

Other names 1

  • Highlandtown Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

3858 E Lombard St
Baltimore, MD 21224
Phone (410) 327-3003

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1306941489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3858 E LOMBARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224",
            "telephone_number": "410-327-3003",
            "fax_number": "410-327-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3858 E LOMBARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224",
            "telephone_number": "410-327-3003",
            "fax_number": "410-327-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMMA HIGHLANDTOWN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "GEMMA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "410-327-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "1563PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220938100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlandtown Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.