Organization Active NPI

Essence of Life Wellness Center, LLC

  • Chiropractor
  • Edgewater, MD
National Provider Identifier
1639317456
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ESSENCE OF LIFE WELLNESS CENTER, LLC
Practice address
89 Stewart Dr
Edgewater, MD 21037-1645
Phone
(410) 956-7340
Fax
(410) 956-7342
NPI assigned
Feb 2, 2009
Last updated
Feb 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Dr. Angela C Tarjick, DC
Title
Chiropractor/Owner
Phone
(410) 956-7340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

89 Stewart Dr
Edgewater, MD 21037-1645

Mailing address

89 Stewart Dr
Edgewater, MD 21037-1645
Phone (410) 956-7340

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1639317456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 STEWART DR",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371645",
            "telephone_number": "410-956-7340",
            "fax_number": "410-956-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 STEWART DR",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371645",
            "telephone_number": "410-956-7340",
            "fax_number": "410-956-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENCE OF LIFE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "TARJICK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "410-956-7340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.