Individual provider Active NPI

Marvin Diaz-Lemus

  • Rehabilitation Chiropractor
  • Gaithersburg, MD
National Provider Identifier
1447116363
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
S04281 Issued in MD
Practice address
12105 Darnestown Rd Ste L-8
Gaithersburg, MD 20878-2217
Phone
(301) 869-0006
NPI assigned
Jan 5, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X S04281 MD Primary

Addresses

Primary practice location

12105 Darnestown Rd Ste L-8
Gaithersburg, MD 20878-2217

Mailing address

12105 Darnestown Rd Ste L-8
Gaithersburg, MD 20878-2217
Phone (301) 869-0006

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
S04281MDMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spiros T Theodore DC PC Rehabilitation PastSince Feb 12, 2010 Accepting new patients

Organizations & group practices 1

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": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1447116363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12105 DARNESTOWN RD STE L-8",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782217",
            "telephone_number": "301-869-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12105 DARNESTOWN RD STE L-8",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782217",
            "telephone_number": "301-869-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-LEMUS",
        "first_name": "MARVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S04281",
            "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 Jan 5, 2026; 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.