Individual provider Active NPI

Joseph D Kling, D.C.

  • Sports Physician Chiropractor
  • Gambrills, MD
National Provider Identifier
1396001871
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
S07301 Issued in MD
Practice address
1166 State Route 3 S Ste 109
Gambrills, MD 21054-1773
Phone
(410) 970-2321
NPI assigned
Apr 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X S07301 MD Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1166 State Route 3 S Ste 109
Gambrills, MD 21054-1773

Mailing address

1166 State Route 3 S Ste 109
Gambrills, MD 21054-1773
Phone (410) 970-2321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120507000669 MD Practitioner - Chiropractic 6406018571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chirosport RehabGroup PAC ID 2163875527, 2 clinicians

Practice addresses (Care Compare)

1166 State Route 3 S
Suite 109
Gambrills, MD 21054-1773
Phone (410) 970-2321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S07301MDMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chirosport Rehab CurrentSince Jan 8, 2024 Accepting new patients
Effective Integrative Healthcare, LLC CurrentSince Jan 1, 2015 Accepting new patients

Locations

1166 State Route 3 S
Ste 109
Gambrills, MD 21054
Phone (410) 451-5700

681 Old Mill Rd
Millersville, MD 21108
Phone (410) 729-2200

Organizations & group practices 2

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1396001871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 STATE ROUTE 3 S STE 109",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541773",
            "telephone_number": "410-970-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 STATE ROUTE 3 S STE 109",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541773",
            "telephone_number": "410-970-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLING",
        "first_name": "JOSEPH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MD",
            "license": "S07301",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gambrills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.