Individual provider Active NPI

Marcia Boyce Levi, D.C.

  • Chiropractor
  • Laurel, MD
National Provider Identifier
1518917376
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S02192 Issued in MD
Practice address
14205 Park Center Dr Ste 207
Laurel, MD 20707-5252
Phone
(301) 362-5868
Fax
(301) 362-5869
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S02192 MD Primary

Addresses

Primary practice location

14205 Park Center Dr Ste 207
Laurel, MD 20707-5252

Mailing address

14205 Park Center Dr Ste 207
Laurel, MD 20707-5252
Phone (013) 362-5868

Other identifiers 1

IdentifierTypeStateIssuer
64331102OtherMDBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051026000463 DC Practitioner - Chiropractic 3779500053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14205 Park Ctr Dr
Suite 207
Laurel, MD 20707-5252
Phone (301) 362-5868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S02192MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Care, LLC Chiropractor CurrentSince Mar 16, 2004 Accepting new patients

Locations

14207 Park Center Dr
Ste 106
Laurel, MD 20707
Phone (301) 362-5868

14205 Park Center Dr
Ste 207
Laurel, MD 20707
Phone (301) 362-5868

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1518917376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14205 PARK CENTER DR STE 207",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075252",
            "telephone_number": "013-362-5868",
            "fax_number": "301-362-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14205 PARK CENTER DR STE 207",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075252",
            "telephone_number": "301-362-5868",
            "fax_number": "301-362-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVI",
        "first_name": "MARCIA",
        "middle_name": "BOYCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S02192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "64331102",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.