Individual provider Active NPI

Cassandra Lynn Devries, D.C.

  • Chiropractor
  • Frederick, MD
National Provider Identifier
1477979227
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03780 Issued in MD
Practice address
604 Solarex CT
Suite 101
Frederick, MD 21703-7005
Phone
(301) 620-1008
NPI assigned
Mar 17, 2014
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S03780 MD Primary

Addresses

Primary practice location

604 Solarex CT
Suite 101
Frederick, MD 21703-7005

Mailing address

12828 Jesse Smith Rd
Mount Airy, MD 21771-5926
Phone (240) 409-2089

Other practice location 1

12828 Jesse Smith Rd
Mount Airy, MD 21771-5926
Phone (301) 228-0988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231221003122 MD Practitioner - Chiropractic 8628428299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ballenger Creek Chiropractic IncGroup PAC ID 2264882927, 2 clinicians

Practice addresses (Care Compare)

604 Solarex CT
Unit 101
Frederick, MD 21703-8678
Phone (301) 620-1008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ballenger Creek Chiropractic Inc Chiropractor CurrentSince Nov 7, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

604 Solarex Ct
Unit 101
Frederick, MD 21703
Phone (301) 620-1008

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1477979227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12828 JESSE SMITH RD",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715926",
            "telephone_number": "240-409-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 SOLAREX CT",
            "address_2": "SUITE 101",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037005",
            "telephone_number": "301-620-1008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12828 Jesse Smith Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "MD",
            "postal_code": "217715926",
            "country_code": "US",
            "telephone_number": "301-228-0988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "CASSANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.