Individual provider Active NPI

Darrell Garrett Cole, D.C

  • Chiropractor
  • Parkville, MD
National Provider Identifier
1538329057
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03606 Issued in MD
Practice address
9705 Parkland Rd
Parkville, MD 21234-2144
Phone
(315) 651-3196
NPI assigned
Jun 10, 2008
Last updated
Jan 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S03606 MD Primary

Addresses

Primary practice location

9705 Parkland Rd
Parkville, MD 21234-2144

Mailing address

9705 Parkland Rd
Parkville, MD 21234-2144
Phone (315) 651-3196

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170414000353 VT Practitioner - Chiropractic 0547325821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

28 Cornelia CT
Unit 102
Milton, VT 05468-4657
Phone (802) 893-1070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
VT Physical Medicine PLLC Chiropractor CurrentSince Apr 1, 2017 Accepting new patients
Grand Island Chiropractic PC Chiropractor PastSince Feb 3, 2007 Accepting new patients

Locations

28 Cornelia Ct
Unit 102
Milton, VT 05468
Phone (802) 893-1070

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1538329057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9705 PARKLAND RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342144",
            "telephone_number": "315-651-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 PARKLAND RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342144",
            "telephone_number": "315-651-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "DARRELL",
        "middle_name": "GARRETT",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.