Organization Active NPI

Nicole Ganz DC, Chiropractor LLC

  • Chiropractor
  • Kensington, MD
National Provider Identifier
1467573006
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01894 Issued in MD
Legal business name
NICOLE GANZ DC, CHIROPRACTOR LLC
Practice address
10400 Connecticut Ave
Suite 314
Kensington, MD 20895-3910
Phone
(301) 929-8301
Fax
(301) 929-8302
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Nicole Ganz, D.C.
Title
Owner
Phone
(301) 929-8301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01894 MD Primary

Addresses

Primary practice location

10400 Connecticut Ave
Suite 314
Kensington, MD 20895-3910

Mailing address

10400 Connecticut Ave
Suite 314
Kensington, MD 20895-3910
Phone (301) 929-8301

Other identifiers 2

IdentifierTypeStateIssuer
S221 0001OtherMDCAREFIRST
M628OtherMDCAREFIRST

National Provider Directory

National Provider Directory

Locations

10400 Connecticut Ave
Ste 314
Kensington, MD 20895
Phone (301) 929-8301

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1467573006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 CONNECTICUT AVE",
            "address_2": "SUITE 314",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208953910",
            "telephone_number": "301-929-8301",
            "fax_number": "301-929-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 CONNECTICUT AVE",
            "address_2": "SUITE 314",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208953910",
            "telephone_number": "301-929-8301",
            "fax_number": "301-929-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE GANZ DC, CHIROPRACTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "GANZ",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-929-8301",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "S221 0001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "M628",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.