NPIMap

Organization Active NPI

Mdde Chiropractic LLC

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1639684129
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MDDE CHIROPRACTIC LLC
Practice address
1021 Gilpin Avenue
Wilmington, DE 19806-3212
Phone
(410) 933-5678
Fax
(410) 238-7451
NPI assigned
Dec 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Authorized official

Name
Lawrence Yalich, D.C.NPI 1457578361
Title
Co Managing Member
Phone
(410) 933-5678

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1021 Gilpin Avenue
Wilmington, DE 19806-3212

Mailing address

9601 Pulaski Park Drive
Suite 416
Middle River, MD 21220-1409
Phone (410) 933-5678

National Provider Directory

National Provider Directory

Locations

1021 Gilpin Ave
Ste 100
Wilmington, DE 19806
Phone (302) 575-9650

Practitioners & affiliated clinicians

Practitioners 1

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": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1639684129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 PULASKI PARK DRIVE",
            "address_2": "SUITE 416",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212201409",
            "telephone_number": "410-933-5678",
            "fax_number": "410-238-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 GILPIN AVENUE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063212",
            "telephone_number": "410-933-5678",
            "fax_number": "410-238-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDDE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "YALICH",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "CO MANAGING MEMBER",
        "authorized_official_telephone_number": "410-933-5678",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.