Organization Active NPI

Kroll Chiropractic

  • Chiropractor
  • Frostburg, MD
National Provider Identifier
1538360128
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01885 Issued in MD
Legal business name
KROLL CHIROPRACTIC
Practice address
1 E Main St
Frostburg, MD 21532-1331
Phone
(301) 689-1200
Fax
(301) 689-1200
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wesley Vinton Kroll, D.C.NPI 1710004346
Title
Chiropractor Owner
Phone
(301) 689-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X S01885 MD Primary

Addresses

Primary practice location

1 E Main St
Frostburg, MD 21532-1331

Mailing address

1 E Main St
Frostburg, MD 21532-1331
Phone (301) 689-1200

Other identifiers 2

IdentifierTypeStateIssuer
M589WVOtherMDBCBS OF MARYLAND, INC.
370937OtherMDMAMSI

National Provider Directory

National Provider Directory

Locations

1 E Main St
Frostburg, MD 21532
Phone (301) 689-1200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538360128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E MAIN ST",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321331",
            "telephone_number": "301-689-1200",
            "fax_number": "301-689-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E MAIN ST",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321331",
            "telephone_number": "301-689-1200",
            "fax_number": "301-689-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROLL CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KROLL",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "VINTON",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "301-689-1200",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MARYLAND, INC.",
            "identifier": "M589WV",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "370937",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frostburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.