Organization Active NPI

Total Life Chiropractic

  • Chiropractor
  • Wheaton, MD
National Provider Identifier
1639803976
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TOTAL LIFE CHIROPRACTIC
Practice address
2730 University Blvd W Ste 1050
Wheaton, MD 20902-5906
Phone
(301) 942-5800
NPI assigned
Jul 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Kissa S McRae, DOCTOR OF CHIROPRACTNPI 1255584488
Title
Owner
Phone
(614) 256-4155

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

2730 University Blvd W Ste 1050
Wheaton, MD 20902-5906

Mailing address

904 Benson Ter
Silver Spring, MD 20901-1849

Other practice location 1

8555 16th St
Silver Spring, MD 20910-2816
Phone (301) 562-0390

National Provider Directory

National Provider Directory

Locations

2730 University Blvd W
Ste 1050
Wheaton, MD 20902
Phone (301) 942-5800

Practitioners & affiliated clinicians

Practitioners 2

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": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1639803976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 BENSON TER",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 UNIVERSITY BLVD W STE 1050",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209025906",
            "telephone_number": "301-942-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8555 16th St",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209102816",
            "country_code": "US",
            "telephone_number": "301-562-0390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOTAL LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "KISSA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-256-4155",
        "authorized_official_credential": "DOCTOR OF CHIROPRACT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.