Active NPI
Damon Anthony, D.C.
- Chiropractor
- Rockville, MD
National Provider Identifier
1487050506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S03799
- Practice address
- 6101 Executive Blvd
Suite 280
Rockville, MD 20852-3907 - Phone
- (301) 231-0050
- Fax
- (301) 231-6057
- NPI assigned
- Nov 17, 2014
- Last updated
- Nov 17, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | S03799 | MD | Primary |
| Chiropractor | 111N00000X | CH030122 | DC |
Addresses
Primary practice location
6101 Executive Blvd
Suite 280
Rockville, MD 20852-3907
Mailing address
6101 Executive Blvd
Suite 280
Rockville, MD 20852-3907
Phone (301) 231-0050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34408 | CA | MD | Clinical Psychologist |
| CH030122 | DC | MD | Chiropractor |
| S03799 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Health Medical Center of Fresno Inc | Chiropractor | Current | Accepting new patients |
| Community Foundation Medical Group | Past | Accepting new patients |
Locations
7161 N Howard St
Ste 100
Fresno, CA 93720
Phone (559) 227-2273
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.
-
- Chiropractor
- Fresno, CA
- NPI 1437220001
-
dba Sante' Foundation Medical Group
- Internal Medicine Physician
- Fresno, CA
- NPI 1811258510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416182400000",
"number": "1487050506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 EXECUTIVE BLVD",
"address_2": "SUITE 280",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523907",
"telephone_number": "301-231-0050",
"fax_number": "301-231-6057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 EXECUTIVE BLVD",
"address_2": "SUITE 280",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523907",
"telephone_number": "301-231-0050",
"fax_number": "301-231-6057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "DAMON",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-17",
"last_updated": "2014-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S03799",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "DC",
"license": "CH030122",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.