Individual provider Active NPI

Audie George Klingler, DC

  • Chiropractor
  • Cumberland, MD
National Provider Identifier
1548323447
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
SO1113 Issued in MD
Practice address
203 Greene St
Cumberland, MD 21502-2877
Phone
(301) 777-0110
Fax
(301) 722-2982
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X SO1113 MD Primary

Addresses

Primary practice location

203 Greene St
Cumberland, MD 21502-2877

Mailing address

203 Greene St
Cumberland, MD 21502-2877
Phone (301) 777-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101130001065 MD Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 9537361563 Practice locations: Cumberland, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S03670MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Phares Chiropractic LLC PastSince Jan 7, 2024 Accepting new patients

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1548323447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 GREENE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022877",
            "telephone_number": "301-777-0110",
            "fax_number": "301-722-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 GREENE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022877",
            "telephone_number": "301-777-0110",
            "fax_number": "301-722-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGLER",
        "first_name": "AUDIE",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "SO1113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.