Dominic Sgroi, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S04185 Issued in MD

Practice address

650 Ritchie Hwy Ste 106
Severna Park, MD 21146-3910

Phone

(410) 421-5544

NPI assigned

Sep 11, 2023

Last updated

Sep 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Health Quest Chiropractic & Physical Therapy, LLC

  • Chiropractor
  • Owings Mills, MD
  • NPI 1275651176
  Medicare reassignment NPD
• Peak Potential Chiropractic and Physical Therapy

  • Chiropractor
  • Severna Park, MD
  • NPI 1184470825
  NPD

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1568249787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 MIDWAY BRANCH DR APT 103",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 RITCHIE HWY STE 106",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463910",
            "telephone_number": "410-421-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SGROI",
        "first_name": "DOMINIC",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S04185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Severna Park Opticians
• Severna Park Physical Therapy Inc.
• Severna Park Smiles LLC
• Laura Sewell
• Tassos John Sfondouris, DDS,MS
• Karla M Shank, RN
• Brooke Sheehy, RN
• Carolyn Sheils, CCC-SLP
• Julie Shepard, BCBA
• Benna Z Sherman, PHD

• Chiropractor in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.