Organization Active NPI

Kent Island Chiropractic PA

  • Chiropractor
  • Arnold, MD
National Provider Identifier
1396800298
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S02023 Issued in MD
Legal business name
KENT ISLAND CHIROPRACTIC PA
Doing business as
Dr. Stephen M. Erle D.C.
Practice address
1300 Ritchie Hwy
Suite E
Arnold, MD 21012-2244
Phone
(410) 647-6342
Fax
(410) 647-6332
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Stephen M Erle, DC
Title
Owner Chiropractor
Phone
(410) 647-6342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X S02023 MD Primary

Addresses

Primary practice location

1300 Ritchie Hwy
Suite E
Arnold, MD 21012-2244

Mailing address

1300 Ritchie Hwy
Suite E
Arnold, MD 21012-2244
Phone (410) 647-6342

Other identifiers 2

IdentifierTypeStateIssuer
KAN2OtherMDCAREFIRST BCBS
F877OtherDCCAREFIRST BCBS

Other names 1

  • Dr. Stephen M. Erle D.C. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1396800298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 RITCHIE HWY",
            "address_2": "SUITE E",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122244",
            "telephone_number": "410-647-6342",
            "fax_number": "410-647-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 RITCHIE HWY",
            "address_2": "SUITE E",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122244",
            "telephone_number": "410-647-6342",
            "fax_number": "410-647-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT ISLAND CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "ERLE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "410-647-6342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S02023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "KAN2",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "F877",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Stephen M. Erle D.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arnold, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.