Active NPI
Charlie Phares, DC
- Chiropractor
- Cumberland, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S04024
- Practice address
- 203 Greene St
Cumberland, MD 21502-2877 - Phone
- (301) 777-0110
- NPI assigned
- Apr 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12009 | FL | |
| Chiropractor | 111N00000X | 4613 | OH | |
| Chiropractor | 111N00000X | 04024 | MD | |
| Chiropractor | 111N00000X | S04024 | MD | Primary |
Addresses
Primary practice location
203 Greene St
Cumberland, MD 21502-2877
Mailing address
203 Greene St
Cumberland, MD 21502-2877
Phone (386) 846-2045
Other practice location 1
1906 W Platt St
Tampa, FL 33606-1709
Phone (813) 463-8355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
203 Greene St
A
Cumberland, MD 21502-2877
Phone (301) 777-0110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12009 | FL | MD | Mental Health Counselor |
| 04024 | MD | MD | Clinical Psychologist |
| S04024 | MD | MD | Chiropractor |
| 4613 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring Ridge Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Phares Chiropractic LLC | Current | Accepting new patients | |
| Spring Ridge Chiropractic of Boonsboro LLC | Chiropractor | Current | Accepting new patients |
| Audie G. Klingler DC | Chiropractor | Past | Accepting new patients |
| Steller Life Care Inc. | Chiropractor | Past | Accepting new patients |
Locations
20311 Lappans Rd
Ste 102
Boonsboro, MD 21713
Phone (301) 620-8566
9093 Ridgefield Dr
Ste 107
Frederick, MD 21701
Phone (301) 620-8566
9093 Ridgefield Dr
Ste 106
Frederick, MD 21701
Phone (301) 620-8566
Organizations & group practices 5
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.
-
dba Allegany Chiropractic Center
- Clinic/Center
- Cumberland, MD
- NPI 1730958703
-
- Chiropractor
- Boonsboro, MD
- NPI 1083346159
-
dba Spring Ridge Chiropractic Center
- Chiropractor
- Frederick, MD
- NPI 1376580621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1497109920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 GREENE ST",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022877",
"telephone_number": "386-846-2045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 GREENE ST",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022877",
"telephone_number": "301-777-0110"
}
],
"practiceLocations": [
{
"address_1": "1906 W Platt St",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336061709",
"country_code": "US",
"telephone_number": "813-463-8355",
"fax_number": "740-888-1856",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHARES",
"first_name": "CHARLIE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-21",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "12009",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "4613",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "04024",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S04024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.