NPIMap

Organization Active NPI

Adolph Family Chiropractic, LLC-Perry Hall

  • Rehabilitation Chiropractor
  • Baltimore, MD
National Provider Identifier
1619004223
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
S01242 Issued in MD
Legal business name
ADOLPH FAMILY CHIROPRACTIC, LLC-PERRY HALL
Practice address
8817 Belair Rd
Ste 101
Baltimore, MD 21236-2425
Phone
(410) 256-9650
Fax
(410) 256-3339
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dale E. Heil, D.C.NPI 1265512800
Title
Cfo
Phone
(410) 256-9650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X S01242 MD Primary

Addresses

Primary practice location

8817 Belair Rd
Ste 101
Baltimore, MD 21236-2425

Mailing address

8817 Belair Rd
Ste 101
Baltimore, MD 21236-2425
Phone (410) 256-9650

Other names 1

  • Spinalife Back Pain Center Doing business as

National Provider Directory

National Provider Directory

Locations

8817 Belair Rd
Ste 101
Nottingham, MD 21236
Phone (410) 256-9650

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619004223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8817 BELAIR RD",
            "address_2": "STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362425",
            "telephone_number": "410-256-9650",
            "fax_number": "410-256-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8817 BELAIR RD",
            "address_2": "STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362425",
            "telephone_number": "410-256-9650",
            "fax_number": "410-256-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOLPH FAMILY CHIROPRACTIC, LLC-PERRY HALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEIL",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-256-9650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S01242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spinalife Back Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.