NPIMap

Individual provider Active NPI

Sheldon Joseph Stuckart, DC

  • Chiropractor
  • Rockville, MD
National Provider Identifier
1720603277
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104-557636 Issued in VA
Practice address
827 Rockville Pike Ste E
Rockville, MD 20852-1267
Phone
(301) 251-2777
Fax
(301) 251-1829
NPI assigned
Jun 10, 2020
Last updated
Jun 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104-557636 VA Primary

Addresses

Primary practice location

827 Rockville Pike Ste E
Rockville, MD 20852-1267

Mailing address

5024 9TH St NW Unit 403
Washington, DC 20011-3945
Phone (440) 821-2244

Other practice location 1

3925 Chain Bridge Rd Ste 101
Fairfax, VA 22030-3938
Phone (703) 890-2222

Other practice location 2

9300 Livingston Rd Ste 100
Ft Washington, MD 20744-4923
Phone (301) 203-6734

Other practice location 3

4301 Garden City Dr Ste 400
Landover, MD 20785-6103
Phone (301) 577-1115

Other practice location 4

6845 Elm St Ste 425
Mc Lean, VA 22101-6052
Phone (703) 448-5799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0104-557636VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physicians LLC Chiropractor Past Accepting new patients
Sport & Spine of Rehab McLean PLLC Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1720603277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 9TH ST NW UNIT 403",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113945",
            "telephone_number": "440-821-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 ROCKVILLE PIKE STE E",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521267",
            "telephone_number": "301-251-2777",
            "fax_number": "301-251-1829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3925 Chain Bridge Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220303938",
            "country_code": "US",
            "telephone_number": "703-890-2222",
            "fax_number": "703-890-2226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300 Livingston Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ft Washington",
            "state": "MD",
            "postal_code": "207444923",
            "country_code": "US",
            "telephone_number": "301-203-6734",
            "fax_number": "240-766-0301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 Garden City Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Landover",
            "state": "MD",
            "postal_code": "207856103",
            "country_code": "US",
            "telephone_number": "301-577-1115",
            "fax_number": "301-577-6487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6845 Elm St Ste 425",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221016052",
            "country_code": "US",
            "telephone_number": "703-448-5799",
            "fax_number": "703-448-5797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUCKART",
        "first_name": "SHELDON",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.