Russel Vincent Antico, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S01939 Issued in MD

Practice address

7060 Oakland Mills Rd
Suite I
Columbia, MD 21046-1694

Phone

(443) 259-0235

Fax

(443) 259-0236

NPI assigned

Nov 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 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

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

National College of Chiropractic, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Howard County Chiropractic Spine and Sports Rehabilitation. LLCGroup PAC ID 9234217753, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Howard County Chiropractic Spine & Sports Rehabilitation. LLC

  • Sports Physician Chiropractor
  • Columbia, MD
  • NPI 1801011895
  Medicare reassignment Care Compare group NPD Authorized official
• Total Health & Rehab Chiropractic-Physical Therapy-Wellness, LLC

  • Rehabilitation Chiropractor
  • Columbia, MD
  • NPI 1033541495
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619048576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7060 OAKLAND MILLS RD",
            "address_2": "SUITE I",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461694",
            "telephone_number": "443-259-0235",
            "fax_number": "443-259-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 OAKLAND MILLS RD",
            "address_2": "SUITE I",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461694",
            "telephone_number": "443-259-0235",
            "fax_number": "443-259-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTICO",
        "first_name": "RUSSEL",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berni J Antelman, LCSWC MSW
• Anthony B Sims DDS PC
• Anthony B Sims DDS PC
• Crystal Anthony
• James D Anthony, M.D.
• Veronica Anne Antico, D.C.
• Antoine G Johnson DDS LLC
• Ndidi Anude, MD, MPH, MA, LGPC
• Catherine Lynn Anuszewski, LCSW-C
• Clinton K Anyamele

• Chiropractor in Columbia, MD
• Providers in Columbia, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.