Adolph Family Chiropractic,LLC-Lutherville

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

S01128 Issued in MD

Legal business name

ADOLPH FAMILY CHIROPRACTIC,LLC-LUTHERVILLE

Doing business as

Spinalife Back Pain Center-Lutherville

Practice address

1711 York Rd
Lutherville, MD 21093-5613

Phone

(410) 560-1880

Fax

(410) 453-9237

NPI assigned

Mar 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Mitchell Adolph, D.C.NPI 1396825477

Title

Ceo

Phone

(410) 560-1880

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spinalife Back Pain Center-Lutherville Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

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.

• John Mitchell Adolph, D.C.

  • Chiropractor
  • Baltimore, MD
  • NPI 1396825477
  Medicare reassignment NPD Authorized official
• Dale E Heil, D.C.

  • Chiropractor
  • Baltimore, MD
  • NPI 1265512800
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306974514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 YORK RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935613",
            "telephone_number": "410-560-1880",
            "fax_number": "410-453-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 YORK RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935613",
            "telephone_number": "410-560-1880",
            "fax_number": "410-453-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOLPH FAMILY CHIROPRACTIC,LLC-LUTHERVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADOLPH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-560-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S01128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "83-377135",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spinalife Back Pain Center-Lutherville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rehabilitation Chiropractor in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Rehabilitation Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.