Individual provider Active NPI

Clarence Wroblewski, DC

  • Chiropractor
  • Frederick, MD
National Provider Identifier
1588557953
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S04259 Issued in MD
Practice address
198 Thomas Johnson Dr Ste 12
Frederick, MD 21702-4456
Phone
(301) 696-8888
NPI assigned
Jun 2, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X S04259 MD
Pediatric Chiropractor 111NP0017X S04259 MD
Radiology Chiropractor 111NR0200X S04259 MD
Rehabilitation Chiropractor 111NR0400X S04259 MD
Neurology Chiropractor 111NN0400X S04259 MD
Independent Medical Examiner Chiropractor 111NI0013X S04259 MD
Internist Chiropractor 111NI0900X S04259 MD
Sports Physician Chiropractor 111NS0005X S04259 MD
Occupational Health Chiropractor 111NX0100X S04259 MD
Orthopedic Chiropractor 111NX0800X S04259 MD
Chiropractor 111N00000X S04259 MD Primary

Addresses

Primary practice location

198 Thomas Johnson Dr Ste 12
Frederick, MD 21702-4456

Mailing address

198 Thomas Johnson Dr Ste 12
Frederick, MD 21702-4456
Phone (301) 696-8888

Other practice location 1

1190 Mount Aetna Rd
Hagerstown, MD 21740-6833
Phone (301) 791-5900

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
I20250716001296 MD Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 8224543491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

198 Thomas Johnson Dr
Suite 12
Frederick, MD 21702-4456
Phone (301) 696-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S04259MDMDInternist Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Alignment Chiropractic Chiropractor CurrentSince Jun 12, 2025 Accepting new patients

Locations

198 Thomas Johnson Dr
Ste 12
Frederick, MD 21702
Phone (301) 696-8888

1190 Mount Aetna Rd
Hagerstown, MD 21740
Phone (301) 790-0666

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": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1588557953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 THOMAS JOHNSON DR STE 12",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024456",
            "telephone_number": "301-696-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 THOMAS JOHNSON DR STE 12",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024456",
            "telephone_number": "301-696-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 Mount Aetna Rd",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217406833",
            "country_code": "US",
            "telephone_number": "301-791-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WROBLEWSKI",
        "first_name": "CLARENCE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MD",
            "license": "S04259",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MD",
            "license": "S04259",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "MD",
            "license": "S04259",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S04259",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "MD",
            "license": "S04259",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "MD",
            "license": "S04259",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "MD",
            "license": "S04259",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MD",
            "license": "S04259",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "MD",
            "license": "S04259",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "MD",
            "license": "S04259",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S04259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.