Artisan Chiropractic Clinic, LLC

Key facts

NPI

1447716899

Entity type

Organization (NPI type 2)

Primary specialty

Chiropractor 111N00000X

Legal business name

ARTISAN CHIROPRACTIC CLINIC, LLC

Practice address

4301 Garden City Dr Ste 205
Hyattsville, MD 20785-2210

Phone

(240) 341-0005

Fax

(240) 341-0004

NPI assigned

Feb 11, 2019

Organization subpart

No

Authorized official

Name

Dr. Yetunde Oni NPI 1669825337

Title

Chiropractor

Phone

(240) 462-2945

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

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

• Artisan Chiropractic Clinic, LLC Chiropractor · Waldorf, MD · NPI 1013809136
  NPD tax ID
• Artisan Chiropractic Clinic, LLC Chiropractor · Laurel, MD · NPI 1811889934
  NPD tax ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yetunde Oni, D.C Chiropractor · Hyattsville, MD · NPI 1669825337
  Medicare reassignment Care Compare group NPD Authorized official CHIROPRACTOR · DC
• Tiara Nashun Dolberry, DC Chiropractor · White Plains, MD · NPI 1053058149
  Medicare reassignment Care Compare group NPD CHIROPRACTOR · DC
• Maryam Milanian Chiropractor · Silver Spring, MD · NPI 1023763844
  Medicare reassignment Care Compare group DC
• Tracy Nana Asare, DC Chiropractor · Laurel, MD · NPI 1982459210
  Medicare reassignment NPD CHIROPRACTOR · DC

Medicare participation

Medicare fee-for-service enrollment

Enrolled in DC

Medicare enrollment records

National Provider Directory

Tax ID family

Artisan Chiropractic Clinic LLC (3 organizations share this tax ID)

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 14, 2024.

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1447716899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 GARDEN CITY DR STE 205",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852210",
            "telephone_number": "240-341-0005",
            "fax_number": "240-341-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 GARDEN CITY DR STE 205",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852210",
            "telephone_number": "240-341-0005",
            "fax_number": "240-341-0004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14201 Laurel Park Dr Ste 212",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207075203",
            "country_code": "US",
            "telephone_number": "240-341-0005",
            "fax_number": "240-341-0004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11750 Business Park Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206012999",
            "country_code": "US",
            "telephone_number": "240-341-0005",
            "fax_number": "240-341-0004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARTISAN CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "ONI",
        "authorized_official_first_name": "YETUNDE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "240-462-2945",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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