NPIMap

Organization Active NPI

Wheaton Chiropractic LLC

  • Chiropractor
  • Wheaton, MD
National Provider Identifier
1437419934
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01623 Issued in MD
Legal business name
WHEATON CHIROPRACTIC LLC
Practice address
9801 Georgia Ave Ste 339
Wheaton, MD 20902-5276
Phone
(301) 962-3500
Fax
(301) 962-3700
NPI assigned
May 18, 2012
Last updated
Oct 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Dr. John Rosa, MDNPI 1356493027
Title
Owner
Phone
(301) 962-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X S01623 MD Primary

Addresses

Primary practice location

9801 Georgia Ave Ste 339
Wheaton, MD 20902-5276

Mailing address

9801 Georgia Ave Ste 339
Wheaton, MD 20902-5276
Phone (301) 962-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121219000306 DC Part B Supplier - Clinic/Group Practice 5597917690 Receives reassigned benefits from 3 practitioners
Practice locations: Wheaton, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1437419934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 GEORGIA AVE STE 339",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209025276",
            "telephone_number": "301-962-3500",
            "fax_number": "301-962-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 GEORGIA AVE STE 339",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209025276",
            "telephone_number": "301-962-3500",
            "fax_number": "301-962-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEATON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-962-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.