NPIMap

Organization Active NPI

Family Back & Neck Care Center, Inc

  • Chiropractor
  • Gaithersburg, MD
National Provider Identifier
1518259241
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01513 Issued in MD
Legal business name
FAMILY BACK & NECK CARE CENTER, INC
Practice address
19110 Montgomery Village Ave
Suite 200
Gaithersburg, MD 20886-3702
Phone
(301) 548-9079
NPI assigned
May 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Dr. Mohammad Yousefi, D.C.
Title
Director
Phone
(301) 548-9079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01513 MD Primary

Addresses

Primary practice location

19110 Montgomery Village Ave
Suite 200
Gaithersburg, MD 20886-3702

Mailing address

19110 Montgomery Village Ave
Suite 200
Gaithersburg, MD 20886-3702
Phone (301) 548-9079

National Provider Directory

National Provider Directory

Locations

19110 Montgomery Village Ave
Ste 200
Gaithersburg, MD 20886
Phone (301) 548-9079

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1518259241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19110 MONTGOMERY VILLAGE AVE",
            "address_2": "SUITE 200",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208863702",
            "telephone_number": "301-548-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19110 MONTGOMERY VILLAGE AVE",
            "address_2": "SUITE 200",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208863702",
            "telephone_number": "301-548-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY BACK & NECK CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "YOUSEFI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-548-9079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.