NPIMap

Organization Active NPI

Atlantic Pain Center

  • Chiropractor
  • Crofton, MD
National Provider Identifier
1578865168
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01908 Issued in MD
Legal business name
ATLANTIC PAIN CENTER
Practice address
1641 Route 3 N
Crofton, MD 21114
Phone
(301) 249-9355
NPI assigned
Dec 2, 2010
Last updated
Dec 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Dr. Douglas T Weaver, D.C.
Title
Owner
Phone
(301) 249-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S01908 MD Primary

Addresses

Primary practice location

1641 Route 3 N
Crofton, MD 21114

Mailing address

PO Box 4443
Crofton, MD 21114-4443
Phone (301) 249-9355

National Provider Directory

National Provider Directory
Tax ID family
Atlantic Pain Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1641 State Route 3 N
Crofton, MD 21114
Phone (301) 249-9355

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1578865168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4443",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211144443",
            "telephone_number": "301-249-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 ROUTE 3 N",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "21114",
            "telephone_number": "301-249-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-249-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.