Individual provider Active NPI

Allen M Manison, D.C.

  • Sports Physician Chiropractor
  • Columbia, MD
National Provider Identifier
1497970602
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1898PT Issued in MD
Practice address
8835 Columbia 100 Pkwy
Suite D
Columbia, MD 21045-2147
Phone
(410) 964-3229
Fax
(410) 964-9671
NPI assigned
Apr 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC009254 PA
Sports Physician Chiropractor 111NS0005X 1898PT MD Primary

Addresses

Primary practice location

8835 Columbia 100 Pkwy
Suite D
Columbia, MD 21045-2147

Mailing address

8835 Columbia 100 Pkwy
Suite D
Columbia, MD 21045-2147
Phone (410) 964-3229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DC009254PAMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1497970602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8835 COLUMBIA 100 PKWY",
            "address_2": "SUITE D",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452147",
            "telephone_number": "410-964-3229",
            "fax_number": "410-964-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 COLUMBIA 100 PKWY",
            "address_2": "SUITE D",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452147",
            "telephone_number": "410-964-3229",
            "fax_number": "410-964-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANISON",
        "first_name": "ALLEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC009254",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MD",
            "license": "1898PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.