Organization Active NPI

King Chiropractic of Urbana

  • Chiropractor
  • Montgomery Village, MD
National Provider Identifier
1720291289
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1208 Issued in MD
Legal business name
KING CHIROPRACTIC OF URBANA
Practice address
19392 Montgomery Village Ave
Suite a
Montgomery Village, MD 20886-3000
Phone
(301) 926-5200
Fax
(301) 869-5417
NPI assigned
May 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Larry Neil King, DCNPI 1356413686
Title
Owner
Phone
(301) 874-9002

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 1208 MD Primary

Addresses

Primary practice location

19392 Montgomery Village Ave
Suite a
Montgomery Village, MD 20886-3000

Mailing address

3280 Urbana Pike
Suite 206
Urbana, MD 21754
Phone (301) 874-9002

Other identifiers 1

IdentifierTypeStateIssuer
1356413686OtherMDPERSONAL NPI NUMBER

National Provider Directory

National Provider Directory
Tax ID family
King Chiropractic of Urbana2 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.

Locations

3280 Urbana Pike
Ste 206
Ijamsville, MD 21754
Phone (301) 872-9002

19392 Montgomery Village Ave
Ste A
Montgomery Village, MD 20886
Phone (301) 926-5200

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720291289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 URBANA PIKE",
            "address_2": "SUITE 206",
            "city": "URBANA",
            "state": "MD",
            "postal_code": "21754",
            "telephone_number": "301-874-9002",
            "fax_number": "301-869-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19392 MONTGOMERY VILLAGE AVE",
            "address_2": "SUITE A",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208863000",
            "telephone_number": "301-926-5200",
            "fax_number": "301-869-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING CHIROPRACTIC OF URBANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-874-9002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "1208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1356413686",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery Village, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.