NPIMap

Organization Active NPI

Elkridge Chiropractic Center P.C.

  • Clinic/Center
  • Elkridge, MD
National Provider Identifier
1346275252
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
S01448 Issued in MD
Legal business name
ELKRIDGE CHIROPRACTIC CENTER P.C.
Practice address
6305C Washington Blvd
Elkridge, MD 21075-5348
Phone
(410) 379-8300
Fax
(410) 379-0228
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Brian S Krupinsky, D.C.NPI 1376565713
Title
Pres.
Phone
(410) 379-8300

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
Clinic/Center 261Q00000X S01448 MD Primary

Addresses

Primary practice location

6305C Washington Blvd
Elkridge, MD 21075-5348

Mailing address

6305C Washington Blvd
Elkridge, MD 21075-5348
Phone (410) 379-8300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080619000596 MD Part B Supplier - Clinic/Group Practice 0941371892 Receives reassigned benefits from 5 practitioners
Practice locations: Elkridge, MD

National Provider Directory

National Provider Directory

Locations

6305 Washington Blvd
Ste C
Elkridge, MD 21075
Phone (410) 379-8300

6010 Meadowridge Center Dr
Ste K
Elkridge, MD 21075
Phone (410) 379-8300

Practitioners & affiliated clinicians

Practitioners 5

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1346275252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305C WASHINGTON BLVD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755348",
            "telephone_number": "410-379-8300",
            "fax_number": "410-379-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305C WASHINGTON BLVD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755348",
            "telephone_number": "410-379-8300",
            "fax_number": "410-379-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKRIDGE CHIROPRACTIC CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "KRUPINSKY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "410-379-8300",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "S01448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.