Individual provider Active NPI

Erica J Wise, DC

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1659646867
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03694 Issued in MD
Practice address
2001 Eastern Ave Ste 1
Baltimore, MD 21231-3061
Phone
(443) 842-5500
Fax
(443) 842-5501
NPI assigned
Mar 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 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 S03694 MD Primary

Addresses

Primary practice location

2001 Eastern Ave Ste 1
Baltimore, MD 21231-3061

Mailing address

6810 Park Heights Ave Ste C4
Baltimore, MD 21215-1662
Phone (443) 842-5500

Other practice location 1

2563 Forest Dr # 201
Annapolis, MD 21401-3869
Phone (443) 842-5500

Other practice location 2

9403 Harford Rd Ste 1
Parkville, MD 21234-3123
Phone (443) 842-5500

Other practice location 3

4201 Northview Dr Ste 101
Bowie, MD 20716-2644
Phone (301) 882-5500

Other practice location 4

6810 Park Heights Ave Ste C4
Baltimore, MD 21215-1662
Phone (443) 842-5500

Other names 1

  • Erica J Urruti Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Spinal Rehab & Chiropractic PC Chiropractor PastSince Apr 10, 2022 Accepting new patients

Organizations & group practices 1

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": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1659646867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 PARK HEIGHTS AVE STE C4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151662",
            "telephone_number": "443-842-5500",
            "fax_number": "667-309-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 EASTERN AVE STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313061",
            "telephone_number": "443-842-5500",
            "fax_number": "443-842-5501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2563 Forest Dr # 201",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013869",
            "country_code": "US",
            "telephone_number": "443-842-5500",
            "fax_number": "443-949-8090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9403 Harford Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Parkville",
            "state": "MD",
            "postal_code": "212343123",
            "country_code": "US",
            "telephone_number": "443-842-5500",
            "fax_number": "410-497-5888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 Northview Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207162644",
            "country_code": "US",
            "telephone_number": "301-882-5500",
            "fax_number": "240-245-3180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6810 Park Heights Ave Ste C4",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212151662",
            "country_code": "US",
            "telephone_number": "443-842-5500",
            "fax_number": "667-309-6024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "ERICA",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "URRUTI",
            "middle_name": "J",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.