Individual provider Active NPI

Amber Lee Jones, DC

  • Chiropractor
  • Waldorf, MD
National Provider Identifier
1629780960
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S04149 Issued in MD
Practice address
1 Post Office Rd Ste 102
Waldorf, MD 20602-2714
Phone
(301) 870-4277
Fax
(301) 645-1252
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S04149 MD Primary

Addresses

Primary practice location

1 Post Office Rd Ste 102
Waldorf, MD 20602-2714

Mailing address

1 Post Office Rd Ste 102
Waldorf, MD 20602-2714
Phone (301) 870-4277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230117002038 MD Practitioner - Chiropractic 7517338247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Care Chiropractic and WellnessGroup PAC ID 5991807968, 3 clinicians

Practice addresses (Care Compare)

1 Post Office Rd
Suite 102
Waldorf, MD 20602-2714
Phone (301) 870-4277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S04149MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Chiropractic & Wellness Chiropractor Current Accepting new patients
Life Care Chiropractic and Wellness Chiropractor CurrentSince Dec 14, 2022 Accepting new patients

Locations

1 Post Office Rd
Ste 102
Waldorf, MD 20602
Phone (301) 870-4277

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1629780960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 POST OFFICE RD STE 102",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022714",
            "telephone_number": "301-870-4277",
            "fax_number": "301-645-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 POST OFFICE RD STE 102",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022714",
            "telephone_number": "301-870-4277",
            "fax_number": "301-645-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "AMBER",
        "middle_name": "LEE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S04149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.