Ella Elizabeth Pantazis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1349 Issued in MD

Practice address

12200 Annapolis Rd
221
Glenn Dale, MD 20769-9182

Phone

(301) 464-5813

Fax

(301) 464-5815

NPI assigned

Feb 6, 2007

Last updated

Sep 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 DC

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1598805178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 LANDOVER RD",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851348",
            "telephone_number": "301-773-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD",
            "address_2": "221",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "301-464-5813",
            "fax_number": "301-464-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTAZIS",
        "first_name": "ELLA",
        "middle_name": "ELIZABETH",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "1349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Isaac Osei Owusu, NP
• Pace Healing Center
• Marcia Parris, M.D.
• Beatrice Ginette M. Patchou, NP
• Olumuyiwa A Paul, MD
• Mary Olabisi Peters, FNP
• Myonoway Phelps Green, CRNP

• Chiropractor in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.