Active NPI
Nicole Ganz DC, Chiropractor LLC
- Chiropractor
- Kensington, MD
National Provider Identifier
1467573006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01894
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S221 0001 | Other | MD | CAREFIRST |
| M628 | Other | MD | CAREFIRST |
National Provider Directory
National Provider DirectoryLocations
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.