Organization Active NPI

The Atlantic Pain Center, LLC

Doing business as The Atlantic Pain Center

  • Chiropractor
  • Crofton, MD
National Provider Identifier
1326184128
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
SO1908 Issued in MD
Legal business name
THE ATLANTIC PAIN CENTER, LLC
Doing business as
The Atlantic Pain Center
Practice address
1641 State Route 3 N
Suite 205
Crofton, MD 21114-2925
Phone
(301) 249-9355
Fax
(301) 249-0404
NPI assigned
Jan 29, 2007
Last updated
Jun 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Dr. Douglas Thornton Weaver, D.C.
Title
Doctor of Chiropractic
Phone
(301) 249-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X SO1908 MD Primary

Addresses

Primary practice location

1641 State Route 3 N
Suite 205
Crofton, MD 21114-2925

Mailing address

1641 State Route 3 N
Suite 205
Crofton, MD 21114-2925
Phone (301) 249-9355

Other names 1

  • The Atlantic Pain Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Atlantic Pain Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1641 State Route 3 N
Ste 205
Crofton, MD 21114
Phone (301) 249-9355

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1326184128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 STATE ROUTE 3 N",
            "address_2": "SUITE 205",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142925",
            "telephone_number": "301-249-9355",
            "fax_number": "304-249-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 STATE ROUTE 3 N",
            "address_2": "SUITE 205",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142925",
            "telephone_number": "301-249-9355",
            "fax_number": "301-249-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ATLANTIC PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "THORNTON",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "301-249-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "SO1908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Atlantic Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.