NPIMap

Organization Active NPI

Easy Spine

  • Chiropractor
  • Bethesda, MD
National Provider Identifier
1497961031
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01840 Issued in MD
Legal business name
EASY SPINE
Practice address
4405 E West Hwy
Suite 504-a
Bethesda, MD 20814-4522
Phone
(301) 986-4810
Fax
(301) 986-4872
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Authorized official

Name
Dr. Steven Gardner, D.C.NPI 1316000490
Title
Chiropractor
Phone
(301) 986-4810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01840 MD Primary

Addresses

Primary practice location

4405 E West Hwy
Suite 504-a
Bethesda, MD 20814-4522

Mailing address

4405 E West Hwy
Suite 504-a
Bethesda, MD 20814-4522
Phone (301) 986-4810

National Provider Directory

National Provider Directory

Locations

4405 East West Hwy
Ste 504A
Bethesda, MD 20814
Phone (301) 986-4810

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1497961031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 E WEST HWY",
            "address_2": "SUITE 504-A",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144522",
            "telephone_number": "301-986-4810",
            "fax_number": "301-986-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 E WEST HWY",
            "address_2": "SUITE 504-A",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144522",
            "telephone_number": "301-986-4810",
            "fax_number": "301-986-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "301-986-4810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.