Evolution Spine & Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

C15129 Issued in MD

Legal business name

EVOLUTION SPINE & WELLNESS LLC

Practice address

336 Main St
Gaithersburg, MD 20878-5540

Phone

(301) 828-8229

NPI assigned

Feb 27, 2017

Last updated

Feb 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reed Frederick Neubaum, DCNPI 1861990962

Title

Doctor of Chiropractic

Phone

(301) 661-7950

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reed Frederick Neubaum, DC

  • Chiropractor
  • Germantown, MD
  • NPI 1861990962
  NPD Authorized official

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1386184273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6082 CEDAR WOOD DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443675",
            "telephone_number": "301-661-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 MAIN ST",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785540",
            "telephone_number": "301-828-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION SPINE & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "NEUBAUM",
        "authorized_official_first_name": "REED",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "301-661-7950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "C15129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.