Active NPI
Back to Basics Chiropractic Center, PC
- Chiropractor
- Rockville, MD
National Provider Identifier
1730474669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- BACK TO BASICS CHIROPRACTIC CENTER, PC
- Practice address
- 4701 Randolph Rd
Suite G5
Rockville, MD 20852-2259 - Phone
- (301) 468-2225
- NPI assigned
- Jun 20, 2011
- 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. Stanley Michael Dulski, DC
- Title
- President
- Phone
- (301) 468-2225
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 | Primary |
Addresses
Primary practice location
4701 Randolph Rd
Suite G5
Rockville, MD 20852-2259
Mailing address
4701 Randolph Rd
Suite G5
Rockville, MD 20852-2259
Phone (301) 468-2225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07CFSM | Other | MD | BCBS PROVIDER NUMBER |
| 41030001 | Other | MD | BCBS FEDERAL |
National Provider Directory
National Provider DirectoryLocations
4701 Randolph Rd
Ste G5
Rockville, MD 20852
Phone (301) 468-2225
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Kensington, MD
- NPI 1730221417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308528000000",
"number": "1730474669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 RANDOLPH RD",
"address_2": "SUITE G5",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522259",
"telephone_number": "301-468-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 RANDOLPH RD",
"address_2": "SUITE G5",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522259",
"telephone_number": "301-468-2225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACK TO BASICS CHIROPRACTIC CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-20",
"last_updated": "2011-06-20",
"status": "A",
"authorized_official_last_name": "DULSKI",
"authorized_official_first_name": "STANLEY",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-468-2225",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "07CFSM",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FEDERAL",
"identifier": "41030001",
"state": "MD"
}
],
"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 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.