NPIMap

Organization Active NPI

Mid-Atlantic Spinal Rehab & Chiropractic PC

  • Chiropractor
  • Bowie, MD
National Provider Identifier
1649916065
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MID-ATLANTIC SPINAL REHAB & CHIROPRACTIC PC
Practice address
4201 Northview Dr Ste 101
Bowie, MD 20716-2644
Phone
(301) 882-5500
NPI assigned
May 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Jessica Whitten
Title
Billing Manager
Phone
(443) 842-5500

Specialties & licenses 1

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

Addresses

Primary practice location

4201 Northview Dr Ste 101
Bowie, MD 20716-2644

Mailing address

PO Box 69294
Baltimore, MD 21264-9294
Phone (301) 882-5500

National Provider Directory

National Provider Directory
Tax ID family
Mid-Atlantic Spinal Rehab Chiropractic PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1649916065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69294",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649294",
            "telephone_number": "301-882-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 NORTHVIEW DR STE 101",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162644",
            "telephone_number": "301-882-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC SPINAL REHAB & CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "WHITTEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "443-842-5500"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.