Individual provider Active NPI

Ali Lankerani, D.C.

  • Chiropractor
  • Woodbine, MD
National Provider Identifier
1407937790
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
02089 Issued in MD
Practice address
710 Lisbon Center Dr
Suite H
Woodbine, MD 21797-8629
Phone
(301) 620-9762
Fax
(301) 624-5731
NPI assigned
Oct 17, 2006
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 02089 MD Primary

Addresses

Primary practice location

710 Lisbon Center Dr
Suite H
Woodbine, MD 21797-8629

Mailing address

710 Lisbon Center Dr
Suite H
Woodbine, MD 21797-8629
Phone (301) 620-9762

Other identifiers 2

IdentifierTypeStateIssuer
G903OtherDCCAREFIRST DC
KEF3OtherMDCAREFIRST MD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
02089MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Woodbine Chiropractic PC Past Accepting new patients

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407937790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LISBON CENTER DR",
            "address_2": "SUITE H",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217978629",
            "telephone_number": "301-620-9762",
            "fax_number": "301-624-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LISBON CENTER DR",
            "address_2": "SUITE H",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217978629",
            "telephone_number": "301-620-9762",
            "fax_number": "301-624-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANKERANI",
        "first_name": "ALI",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "02089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST DC",
            "identifier": "G903",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD",
            "identifier": "KEF3",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbine, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.