Active NPI
Ian Newman, DC CCSP
- Chiropractor
- Frederick, MD
National Provider Identifier
1609834605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S01626
- Practice address
- 198 Thomas Johnson Dr
Suite 12
Frederick, MD 21702-4398 - Phone
- (301) 696-8888
- Fax
- (301) 696-9618
- NPI assigned
- May 2, 2006
- Last updated
- Jul 12, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | S01626 | MD | Primary |
| Chiropractor | 111N00000X | CH6753 | FL | |
| Chiropractor | 111N00000X | DC654 | HI | |
| Chiropractor | 111N00000X | DC22789 | CA |
Addresses
Primary practice location
198 Thomas Johnson Dr
Suite 12
Frederick, MD 21702-4398
Mailing address
198 Thomas Johnson Dr
Suite 12
Frederick, MD 21702-4398
Phone (301) 696-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110202000795 | MD | Practitioner - Chiropractic | 4284814658 | Practice locations: Frederick, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1992
- Medicare assignment
- May accept Medicare assignment
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC22789 | CA | MD | Chiropractor |
| CH6753 | FL | MD | Chiropractor |
| DC654 | HI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Newman Family Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Frederick, MD
- NPI 1952509176
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1609834605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 THOMAS JOHNSON DR",
"address_2": "SUITE 12",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024398",
"telephone_number": "301-696-8888",
"fax_number": "301-696-9618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 THOMAS JOHNSON DR",
"address_2": "SUITE 12",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024398",
"telephone_number": "301-696-8888",
"fax_number": "301-696-9618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "IAN",
"name_prefix": "Dr.",
"credential": "DC CCSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S01626",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH6753",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "DC654",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC22789",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.