Active NPI
Valley Chiropractic LLC
- Chiropractor
- Frederick, MD
National Provider Identifier
1629260575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S02048
- Legal business name
- VALLEY CHIROPRACTIC LLC
- Practice address
- 110 Baughmans LN Ste 200
Frederick, MD 21702-4916 - Phone
- (301) 624-0024
- Fax
- (301) 624-0026
- NPI assigned
- Aug 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dennis R. Travagline, D.C.
- Title
- Owner
- Phone
- (310) 624-0024
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | S02048 | MD | Primary |
Addresses
Primary practice location
110 Baughmans LN Ste 200
Frederick, MD 21702-4916
Mailing address
110 Baughmans LN Ste 200
Frederick, MD 21702-4916
Phone (301) 624-0024
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J571-0001 | Other | DC | CAREFIRST BC/BS |
| 1584302 | Other | MD | CAREFIRST BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
110 Baughmans Ln
Ste 200
Frederick, MD 21702
Phone (301) 624-0024
4 S McCain Dr
Ste 8
Frederick, MD 21703
Phone (301) 624-0024
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Bethesda, MD
- NPI 1033802384
-
- Chiropractor
- Rockville, MD
- NPI 1356493027
-
- Chiropractor
- Frederick, MD
- NPI 1093713281
-
- Chiropractor
- Silver Spring, MD
- NPI 1023763844
-
- Rehabilitation Chiropractor
- Temple Hills, MD
- NPI 1366507493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564444800000",
"number": "1629260575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 BAUGHMANS LN STE 200",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024916",
"telephone_number": "301-624-0024",
"fax_number": "301-624-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 BAUGHMANS LN STE 200",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024916",
"telephone_number": "301-624-0024",
"fax_number": "301-624-0026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-14",
"last_updated": "2019-07-30",
"status": "A",
"authorized_official_last_name": "TRAVAGLINE",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-624-0024",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MD",
"license": "S02048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "J571-0001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "1584302",
"state": "MD"
}
],
"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 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.