Individual provider Active NPI

Stephanie Chaney, D.C.

  • Chiropractor
  • Annapolis, MD
National Provider Identifier
1467529685
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
02033 Issued in MD
Practice address
1833 Forest Dr # a
Annapolis, MD 21401-4429
Phone
(410) 216-9180
NPI assigned
Nov 30, 2006
Sex
Female
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 02033 MD Primary

Addresses

Primary practice location

1833 Forest Dr # a
Annapolis, MD 21401-4429

Mailing address

477 Penwood Dr
Edgewater, MD 21037-3441
Phone (410) 956-9865

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041216000214 MD Practitioner - Chiropractic 6800853383 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02033MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Living Health Integrative Medicine LLC CurrentSince Mar 2, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1833 Forest Dr
Ste A
Annapolis, MD 21401
Phone (410) 216-9180

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467529685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 PENWOOD DR",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210373441",
            "telephone_number": "410-956-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 FOREST DR # A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014429",
            "telephone_number": "410-216-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "02033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, 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.
  • 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.