Michael Dorn, DC DOCTOR OF CHIROPR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

501922 Issued in MD

Practice address

3914 Hickory Ave
Baltimore, MD 21211-1834

Phone

(410) 662-4476

Fax

(410) 662-9884

NPI assigned

Aug 4, 2006

Last updated

Feb 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ideal Wellness LLC

  • Multi-Specialty Clinic/Center
  • Baltimore, MD
  • NPI 1477365849
  Medicare reassignment NPD Authorized official
• Whole Body Healthcare, LLC

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1740729482
  Medicare reassignment Authorized official
• Hampden Family Chiropractic

  • Chiropractor
  • Baltimore, MD
  • NPI 1265574495
  Authorized official Same address or phone

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1467460394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 HICKORY AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111834",
            "telephone_number": "410-662-4476",
            "fax_number": "410-662-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 HICKORY AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111834",
            "telephone_number": "410-662-4476",
            "fax_number": "410-662-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC DOCTOR OF CHIROPR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "501922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIPPA",
            "identifier": "1091702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henrique Doria de Vasconcellos, MD, MSC, PHD
• Yuma Dorlus
• Pamela Dorman
• Todd Dorman, M.D.
• Matthew Dorn, DPT
• Maverick Dornberger
• Noelle Dorotinsky
• Margaret Irleane Dorr, CRNP
• Ari M Dorros, MD
• Christian Edward Dorry, LMSW

• Chiropractor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.