Wow Chiropractic Clinic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WOW CHIROPRACTIC CLINIC, INC

Doing business as

WOW Chiropractic of Timonium

Practice address

1407 York Rd Ste 302
Lutherville, MD 21093-6054

Phone

(410) 583-5654

NPI assigned

Oct 26, 2018

Organization subpart

No

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

Authorized official

Name

Eundae Shugg, DCNPI 1942722053

Title

Director

Phone

(410) 583-5654

Specialties & licenses 1

Addresses

Other names 1

• WOW Chiropractic of Timonium Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Wow Chiropractic Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wow Chiropractic Clinic, Inc

  • Acupuncturist
  • Hanover, MD
  • NPI 1043916596
  NPD tax ID

Locations

Practitioners 1

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.

• Eundae Shugg, DC

  • Chiropractor
  • Lutherville, MD
  • NPI 1942722053
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734739200000",
    "number": "1679040877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 YORK RD STE 302",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 YORK RD STE 302",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936054",
            "telephone_number": "410-583-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOW CHIROPRACTIC CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A",
        "authorized_official_last_name": "SHUGG",
        "authorized_official_first_name": "EUNDAE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-583-5654",
        "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": [
        {
            "organization_name": "WOW Chiropractic of Timonium",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WOW Chiropractic of Timonium",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara V Wise, CPNP
• Raymond A. Wittstadt, M.D.
• Antonio Wolff, M.D.
• Jordan H. Wolff, MD
• Woven Path Therapy LLC
• WP-PT LLC (Active Life PT)
• Shannon Catherine Wrabel, AU.D.
• Elizabeth Ann Wright
• Vincent Paul Wroblewski, MD
• Yiying Xiong

• Chiropractor in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.