McDermott Chiropractic Centre LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1540 Issued in MD

Legal business name

MCDERMOTT CHIROPRACTIC CENTRE LTD

Practice address

319 S Union Ave
Havre de Grace, MD 21078-3201

Phone

(410) 939-1111

Fax

(410) 642-3552

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Robert McDermott, OC CCSPNPI 1952586166

Title

President

Phone

(410) 569-1099

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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

• William Robert McDermott, DC

  • Chiropractor
  • Havre de Grace, MD
  • NPI 1952586166
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1518059443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 CRABAPPLE COURT",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156032",
            "telephone_number": "410-569-1099",
            "fax_number": "410-642-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S UNION AVE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783201",
            "telephone_number": "410-939-1111",
            "fax_number": "410-642-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDERMOTT CHIROPRACTIC CENTRE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-569-1099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OC CCSP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "1540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHHC",
            "identifier": "104646",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSDC",
            "identifier": "0001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNHC",
            "identifier": "4400163",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPO",
            "identifier": "5921641",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMOP",
            "identifier": "258998",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365452400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00046203",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVE",
            "identifier": "31787",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSMD",
            "identifier": "53490401",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHMO",
            "identifier": "2020433",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Aubree Mayhew, LMSW
• Jennifer Kathleen Mays
• Mbossed ABA, L.L.C.
• Michelle R McCarty, MS, OTR/L, CHT CEAS
• Eli McCoy-Johnson
• William Robert McDermott, DC
• Kerri McDonald, PA-C
• Daniel Carl McFarland
• Julia Henry McGovern, LCSW-C
• Maryanne Patricia McGovern, LGSW

• Chiropractor in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.

Verify at the official NPI Registry.