King Chiropractic of Urbana

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S2016 Issued in MD

Legal business name

KING CHIROPRACTIC OF URBANA

Practice address

3280 Urbana Pike
Suite 206
Ijamsville, MD 21754-9406

Phone

(301) 874-9002

Fax

(301) 874-8511

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Chad Groves, D.C.NPI 1831263748

Title

Director

Phone

(301) 874-9002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

King Chiropractic of Urbana2 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.

• King Chiropractic of Urbana

  • Chiropractor
  • Montgomery Village, MD
  • NPI 1720291289
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry Neil King, DC

  • Chiropractor
  • Gaithersburg, MD
  • NPI 1356413686
  Medicare reassignment NPD
• Kelly Chad Groves, D.C.

  • Rehabilitation Chiropractor
  • Gaithersburg, MD
  • NPI 1831263748
  NPD (past) Authorized official
• Mark Anthony Alexander, D.C.

  • Chiropractor
  • Owings Mills, MD
  • NPI 1518023514
  NPD (past)
• Andrew Stephen Vaky, D.C.

  • Chiropractor
  • Ijamsville, MD
  • NPI 1134540016
  NPD (past)

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1366620106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 URBANA PIKE",
            "address_2": "SUITE 206",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "217549406",
            "telephone_number": "301-874-9002",
            "fax_number": "301-874-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 URBANA PIKE",
            "address_2": "SUITE 206",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "217549406",
            "telephone_number": "301-874-9002",
            "fax_number": "301-874-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING CHIROPRACTIC OF URBANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-874-9002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S2016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Ijamsville, MD
• Providers in Ijamsville, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.