Individual provider Active NPI

Richard James Santangelo, D.C.

  • Chiropractor
  • Nottingham, MD
National Provider Identifier
1386857118
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01411 Issued in MD
Practice address
4303 Fitch Ave
Nottingham, MD 21236-3717
Phone
(410) 663-8610
Fax
(443) 420-1001
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S01411 MD Primary

Addresses

Primary practice location

4303 Fitch Ave
Nottingham, MD 21236-3717

Mailing address

4303 Fitch Ave
Nottingham, MD 21236-3717
Phone (410) 663-8610

Other identifiers 2

IdentifierTypeStateIssuer
40068401OtherMDCAREFIRST RENDERING NO.
W371 0001OtherMDDC PLAN PROVIDER NO.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081001000329 MD Practitioner - Chiropractic 3476621608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4303 Fitch Ave
Baltimore, MD 21236-3717
Phone (410) 663-8610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard J. Santangelo, D.C., P.C. Chiropractor CurrentSince Mar 14, 2008 Accepting new patients

Locations

4303 Fitch Ave
Nottingham, MD 21236
Phone (410) 663-8610

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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1386857118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 FITCH AVE",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363717",
            "telephone_number": "410-663-8610",
            "fax_number": "443-420-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 FITCH AVE",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363717",
            "telephone_number": "410-663-8610",
            "fax_number": "443-420-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANGELO",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST RENDERING NO.",
            "identifier": "40068401",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC PLAN PROVIDER NO.",
            "identifier": "W371 0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.

Verify at the official NPI Registry.