Active NPI
Yourspine LLC
- Chiropractor
- Kensington, MD
National Provider Identifier
1700140464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01268
- Legal business name
- YOURSPINE LLC
- Practice address
- 10605 Concord St
Suite 502
Kensington, MD 20895-2504 - Phone
- (240) 242-3266
- NPI assigned
- Jun 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheila Amon
- Title
- Chiropractor
- Phone
- (240) 242-3266
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01268 | MD | Primary |
Addresses
Primary practice location
10605 Concord St
Suite 502
Kensington, MD 20895-2504
Mailing address
10605 Concord St
Suite 502
Kensington, MD 20895-2504
Phone (240) 242-3266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10605 Concord St
Ste 502
Kensington, MD 20895
Phone (240) 242-3266
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": "1340755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369785600000",
"number": "1700140464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10605 CONCORD ST",
"address_2": "SUITE 502",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208952504",
"telephone_number": "240-242-3266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10605 CONCORD ST",
"address_2": "SUITE 502",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208952504",
"telephone_number": "240-242-3266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOURSPINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-27",
"last_updated": "2013-05-29",
"status": "A",
"authorized_official_last_name": "AMON",
"authorized_official_first_name": "SHEILA",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "240-242-3266"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MD",
"license": "01268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kensington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.