Individual provider Active NPI

John Mitchell Adolph, D.C.

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1396825477
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1128 Issued in MD
Practice address
8817 Belair Rd
Suite101
Baltimore, MD 21236-2425
Phone
(410) 256-9650
Fax
(410) 256-3339
NPI assigned
Oct 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1128 MD Primary

Addresses

Primary practice location

8817 Belair Rd
Suite101
Baltimore, MD 21236-2425

Mailing address

8817 Belair Rd
Suite101
Baltimore, MD 21236-2425
Phone (410) 256-9650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080730000772 MD Practitioner - Chiropractic 2163593096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1711 York Rd
Lutherville, MD 21093-5613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1128MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Adolph Family Chiropractic,LLC-Lutherville CurrentSince Jan 23, 2006 Accepting new patients
Perry Hall Chiropractic & Physical Therapy LLC Chiropractor PastSince Nov 10, 2008 Accepting new patients
Adolph Family Chiropractic, LLC-Perry Hall Chiropractor Past Accepting new patients

Locations

1711 York Rd
Ste E
Lutherville Timonium, MD 21093
Phone (410) 560-1880

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396825477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8817 BELAIR RD",
            "address_2": "SUITE101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362425",
            "telephone_number": "410-256-9650",
            "fax_number": "410-256-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8817 BELAIR RD",
            "address_2": "SUITE101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362425",
            "telephone_number": "410-256-9650",
            "fax_number": "410-256-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADOLPH",
        "first_name": "JOHN",
        "middle_name": "MITCHELL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "1128",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 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.

Verify at the official NPI Registry.