NPIMap

Organization Active NPI

Chivic Healthcare Services LLC

  • Clinic/Center
  • Lanham, MD
National Provider Identifier
1710683156
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHIVIC HEALTHCARE SERVICES LLC
Practice address
9470 Annapolis Rd Ste 416
Lanham, MD 20706-3000
Phone
(202) 735-1010
NPI assigned
Feb 7, 2023
Last updated
Sep 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Ndidiamaka Ezinne MbakpuoNPI 1336638089
Title
Ceo
Phone
(301) 712-4637

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Urgent Care Clinic/Center 261QU0200X NU
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

9470 Annapolis Rd Ste 416
Lanham, MD 20706-3000

Mailing address

9470 Annapolis Rd Ste 416
Lanham, MD 20706-3000
Phone (202) 735-1010

Other practice location 1

7525 Greenway Center Dr Ste 316
Greenbelt, MD 20770-3525
Phone (202) 735-1010

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22816/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1710683156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD STE 416",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063000",
            "telephone_number": "202-735-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD STE 416",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063000",
            "telephone_number": "202-735-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7525 Greenway Center Dr Ste 316",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207703525",
            "country_code": "US",
            "telephone_number": "202-735-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHIVIC HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-09-05",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "MBAKPUO",
        "authorized_official_first_name": "NDIDIAMAKA",
        "authorized_official_middle_name": "EZINNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-712-4637"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.