Active NPI
Kaizen Chiropractic LLC
- Sports Physician Chiropractor
- Bethesda, MD
National Provider Identifier
1356997530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- Legal business name
- KAIZEN CHIROPRACTIC LLC
- Practice address
- 4641 Montgomery Ave Ste 404
Bethesda, MD 20814-3431 - Phone
- (240) 670-0081
- NPI assigned
- Aug 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer L Davis, DC
- Title
- Director of Sport Medicine
- Phone
- (240) 670-0081
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | Primary | ||
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | |||
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | |||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | |||
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | |||
| Sports Physical Therapist | 2251S0007X |
Addresses
Primary practice location
4641 Montgomery Ave Ste 404
Bethesda, MD 20814-3431
Mailing address
4641 Montgomery Ave Ste 404
Bethesda, MD 20814-3431
Phone (240) 670-0081
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962723304 | Other | MD | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | DrChrono | Direct |
National Provider Directory
National Provider DirectoryLocations
4641 Montgomery Ave
Ste 404
Bethesda, MD 20814
Phone (240) 670-0081
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Bethesda, MD
- NPI 1962723304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565740800000",
"number": "1356997530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4641 MONTGOMERY AVE STE 404",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143431",
"telephone_number": "240-670-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4641 MONTGOMERY AVE STE 404",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143431",
"telephone_number": "240-670-0081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAIZEN CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-14",
"last_updated": "2019-08-14",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR OF SPORT MEDICINE",
"authorized_official_telephone_number": "240-670-0081",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": null,
"license": null,
"primary": true
},
{
"code": "204C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207PS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1962723304",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "DrChrono",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Digital",
"address_1": "4641 Montgomery Ave Ste 404",
"city": "Bethesda",
"state": "MD",
"country_code": "US",
"postal_code": "208143431",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.