Taber Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TABER CHIROPRACTIC, P.C.

Practice address

14300 Gallant Fox Lane
Suite 201
Bowie, MD 20715-4003

Phone

(301) 352-4500

Fax

(301) 352-6510

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Diane Lenzen Taber, D.C.NPI 1154322626

Title

Owner/Chiropractor

Phone

(301) 352-4500

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane L Taber, D.C.

  • Chiropractor
  • Bowie, MD
  • NPI 1154322626

  DC

  Medicare reassignment NPD Authorized official
• Theodore W Taber, D.C.

  • Chiropractor
  • Bowie, MD
  • NPI 1154322659

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1558486936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LANE",
            "address_2": "SUITE 201",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154003",
            "telephone_number": "301-352-4500",
            "fax_number": "301-352-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LANE",
            "address_2": "SUITE 201",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154003",
            "telephone_number": "301-352-4500",
            "fax_number": "301-352-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABER CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "TABER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LENZEN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "301-352-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "LR25TA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "S241",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "LR25TA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "S241",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William F Swann, DDS
• Brendaline Swirri
• Jacquelyn Sylvain Vest, LMSW
• Synchronix Tech LLC
• Synergy Medical Group, LLC
• Diane L Taber, D.C.
• Theodore W Taber, D.C.
• David Nfonsang Tabey
• Tracy Grace Tifuh Tabit
• Emannuel Taboko

• Chiropractor in Bowie, MD
• Providers in Bowie, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.