Individual provider Active NPI

Jinho Ahn, D.C.

  • Chiropractor
  • Gaithersburg, MD
National Provider Identifier
1407168537
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03601 Issued in MD
Practice address
481 N Frederick Ave
Suit 230
Gaithersburg, MD 20877-2417
Phone
(301) 527-1510
Fax
(301) 527-9320
NPI assigned
Jul 6, 2010
Last updated
Jul 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03601 MD Primary

Addresses

Primary practice location

481 N Frederick Ave
Suit 230
Gaithersburg, MD 20877-2417

Mailing address

412 E Diamond Ave
Gaithersburg, MD 20877-3018
Phone (213) 219-1915

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819007423 MD Practitioner - Chiropractic 3870762396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1102 E Joppa Rd
Towson, MD 21286-5805
Phone (410) 321-7210

8305 Liberty Rd
Baltimore, MD 21244-3125
Phone (410) 922-4341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03601MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spector Medical Group LLC Current Accepting new patients
Chiropractic Works2 LLC Chiropractor CurrentSince Jan 3, 2018 Accepting new patients
Advanced Total Health Clinic LLC Current Accepting new patients
Chiropractic Works LLC Chiropractor CurrentSince Jun 17, 2015 Accepting new patients

Locations

1102 E Joppa Rd
Towson, MD 21286
Phone (410) 321-7210

8305 Liberty Rd
Windsor Mill, MD 21244
Phone (410) 922-4341

Organizations & group practices 5

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": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1407168537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E DIAMOND AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773018",
            "telephone_number": "213-219-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 N FREDERICK AVE",
            "address_2": "SUIT 230",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772417",
            "telephone_number": "301-527-1510",
            "fax_number": "301-527-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "JINHO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.