NPIMap

Organization Active NPI

Mankamyer Chiropractic and Rehabilitation PC

  • Chiropractor
  • Oakland, MD
National Provider Identifier
1558317875
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S02031 Issued in MD
Legal business name
MANKAMYER CHIROPRACTIC AND REHABILITATION PC
Practice address
14689 Garrett Hwy Ste 2
Oakland, MD 21550-4059
Phone
(301) 334-3220
Fax
(301) 334-3225
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Dr. Kenneth R Mankamyer, DCNPI 1649456633
Title
Chiropractor
Phone
(301) 334-3220

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X S02031 MD Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC008044L PA

Addresses

Primary practice location

14689 Garrett Hwy Ste 2
Oakland, MD 21550-4059

Mailing address

14689
Suite 2
Oakland, MD 21550
Phone (301) 334-3220

Other practice location 1

11349 National Pike
Grantsville, MD 21536-2015
Phone (301) 895-5100

Other identifiers 2

IdentifierTypeStateIssuer
3119847OtherMDMAMSI
J527MAOtherMDBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050104000372 MD Part B Supplier - Clinic/Group Practice 0042268369 Receives reassigned benefits from 3 practitioners
Practice locations: Grantsville, MD; Oakland, MD

National Provider Directory

National Provider Directory

Locations

14689 Garrett Hwy
Ste 2
Oakland, MD 21550
Phone (301) 334-3220

14719 Garrett Hwy
Oakland, MD 21550
Phone (301) 334-3220

Practitioners & affiliated clinicians

Practitioners 3

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1558317875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14689",
            "address_2": "SUITE 2",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "21550",
            "telephone_number": "301-334-3220",
            "fax_number": "301-334-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14689 GARRETT HWY STE 2",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504059",
            "telephone_number": "301-334-3220",
            "fax_number": "301-334-3225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11349 National Pike",
            "address_purpose": "LOCATION",
            "city": "Grantsville",
            "state": "MD",
            "postal_code": "215362015",
            "country_code": "US",
            "telephone_number": "301-895-5100",
            "fax_number": "301-895-5468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANKAMYER CHIROPRACTIC AND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "MANKAMYER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "301-334-3220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S02031",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008044L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "3119847",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J527MA",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.