South River Family Chiropractic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOUTH RIVER FAMILY CHIROPRACTIC LLC

Practice address

3168 Braverton St Ste 302
Edgewater, MD 21037-2680

Phone

(410) 353-1616

NPI assigned

Apr 6, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Angela Carlynn Tarjick, DCNPI 1932344272

Title

Owner/Chiropractor

Phone

(410) 353-1616

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Angela Carlynn Tarjick, D.C.

  • Chiropractor
  • Millersville, MD
  • NPI 1932344272
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1528709128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 JAMES WAY",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371713",
            "telephone_number": "410-353-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3168 BRAVERTON ST STE 302",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372680",
            "telephone_number": "410-353-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH RIVER FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "TARJICK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "CARLYNN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "410-353-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1932344272",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Signorelli, PA-C
• Claire Skelton
• Catherine Smith-Heine, LCPC, NCC
• Sol & Luna Wellness LLC
• South River Ambulatory Surgery
• South River Internal Medicine, PA
• South River Nursing and Rehab Center LLC (South River Rehabilitation and Wellness Center)
• South River Primary Care LLC
• Alexa Spearman
• Jessica Lynne Stallings, CRNP-PMH, PMHNP-BC

• Clinic/Center in Edgewater, MD
• Providers in Edgewater, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.