Active NPI
Spine Wellness Center LLC
- Chiropractor
- Clinton, MD
National Provider Identifier
1710483136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S03727
- Legal business name
- SPINE WELLNESS CENTER LLC
- Practice address
- 9135 Piscataway Rd Ste 310
Clinton, MD 20735-2566 - Phone
- (240) 244-2818
- NPI assigned
- Apr 4, 2018
- 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
- Dr. Hayford Anane, DC
- Title
- Chiropractor
- Phone
- (646) 642-7906
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 | S03727 | MD | Primary |
Addresses
Primary practice location
9135 Piscataway Rd Ste 310
Clinton, MD 20735-2566
Mailing address
9135 Piscataway Rd Ste 310
Clinton, MD 20735-2566
Phone (240) 244-2818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9135 Piscataway Rd
Ste 310
Clinton, MD 20735
Phone (240) 244-2818
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": "1522800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680134400000",
"number": "1710483136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9135 PISCATAWAY RD STE 310",
"city": "CLINTON",
"state": "MD",
"postal_code": "207352566",
"telephone_number": "240-244-2818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9135 PISCATAWAY RD STE 310",
"city": "CLINTON",
"state": "MD",
"postal_code": "207352566",
"telephone_number": "240-244-2818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-04",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A",
"authorized_official_last_name": "ANANE",
"authorized_official_first_name": "HAYFORD",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "646-642-7906",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MD",
"license": "S03727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MD
- Southern Maryland Pediatrics LLC
- Southern Maryland Physical Therapy Inc.
- Southern Maryland Professional Rad
- Southern Radiology MRI Partnership
- Natosha Peterson Speight, LCSW-C
- Spiritual Healing, LLC
- David Allen Spott, M.D.
- Clover Springer, RN
- Gloria Valdez Sta Maria, RPH
- Norman Russell Stackhouse, P.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.