NPIMap

Organization Active NPI

Takoma Chiropractic, LLC

  • Chiropractor
  • Silver Spring, MD
National Provider Identifier
1699962662
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1915 Issued in MD
Legal business name
TAKOMA CHIROPRACTIC, LLC
Practice address
831 University Blvd E
Suite 35
Silver Spring, MD 20903-2916
Phone
(301) 445-6900
Fax
(301) 445-6592
NPI assigned
Oct 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Dr. Paul Salvatore Tetro, D.C.NPI 1699810143
Title
Owner/Director
Phone
(301) 445-6900

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 1915 MD Primary

Addresses

Primary practice location

831 University Blvd E
Suite 35
Silver Spring, MD 20903-2916

Mailing address

831 University Blvd E
Suite 35
Silver Spring, MD 20903-2916
Phone (301) 445-6900

National Provider Directory

National Provider Directory

Locations

831 University Blvd E
Ste 35
Silver Spring, MD 20903
Phone (301) 445-6900

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": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1699962662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 UNIVERSITY BLVD E",
            "address_2": "SUITE 35",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209032916",
            "telephone_number": "301-445-6900",
            "fax_number": "301-445-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 UNIVERSITY BLVD E",
            "address_2": "SUITE 35",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209032916",
            "telephone_number": "301-445-6900",
            "fax_number": "301-445-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKOMA CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "TETRO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "SALVATORE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "301-445-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "1915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.