NPIMap

Organization Active NPI

Elevate Life, Inc.

  • Chiropractor
  • Annapolis, MD
National Provider Identifier
1528515392
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03891 Issued in MD
Legal business name
ELEVATE LIFE, INC.
Practice address
1730 West St
Suite 105
Annapolis, MD 21401-3448
Phone
(717) 615-8556
NPI assigned
Sep 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Authorized official

Name
Dr. Daniel Paul Johns, D.C.
Title
Owner
Phone
(717) 615-8556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X S03891 MD Primary

Addresses

Primary practice location

1730 West St
Suite 105
Annapolis, MD 21401-3448

Mailing address

1730 West St
Suite 105
Annapolis, MD 21401-3448
Phone (717) 615-8556

National Provider Directory

National Provider Directory

Locations

1730 West St
Unit 105
Annapolis, MD 21401
Phone (410) 268-3333

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1528515392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 WEST ST",
            "address_2": "SUITE 105",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013448",
            "telephone_number": "717-615-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 WEST ST",
            "address_2": "SUITE 105",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013448",
            "telephone_number": "717-615-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-615-8556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.