Active NPI
Mitchell Robert Silverman, D.C.
- Sports Physician Chiropractor
- Baltimore, MD
National Provider Identifier
1376665141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- SO1450
- Practice address
- 1703 E Joppa Rd
Baltimore, MD 21234-3638 - Phone
- (410) 665-6666
- Fax
- (410) 882-1264
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | SO1450 | MD | Primary |
Addresses
Primary practice location
1703 E Joppa Rd
Baltimore, MD 21234-3638
Mailing address
1703 E Joppa Rd
Baltimore, MD 21234-3638
Phone (410) 665-6666
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R420 0001 | Other | DC | CAREFIRST OF DC |
| K687AG | Other | MD | CAREFIRST OF MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1703 E Joppa Rd
Baltimore, MD 21234-3638
Phone (410) 665-6666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SO1450 | MD | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Head,Neck & Back Pain Center P.a. | Sports Physician | Current | Accepting new patients |
Locations
1703 E Joppa Rd
Parkville, MD 21234
Phone (410) 665-6666
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Physician Chiropractor
- Baltimore, MD
- NPI 1255544409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196035200000",
"number": "1376665141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 E JOPPA RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212343638",
"telephone_number": "410-665-6666",
"fax_number": "410-882-1264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 E JOPPA RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212343638",
"telephone_number": "410-665-6666",
"fax_number": "410-882-1264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVERMAN",
"first_name": "MITCHELL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MD",
"license": "SO1450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST OF DC",
"identifier": "R420 0001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST OF MD",
"identifier": "K687AG",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.