Individual provider Active NPI

James A Roeder, D.C.

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1740336296
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
02080 Issued in MD
Practice address
8723 Belair Rd Ste a
Baltimore, MD 21236-2419
Phone
(410) 529-8010
Fax
(410) 529-8424
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 02080 MD Primary

Addresses

Primary practice location

8723 Belair Rd Ste a
Baltimore, MD 21236-2419

Mailing address

8723 Belair Rd Ste a
Baltimore, MD 21236-2419
Phone (410) 529-8010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120724000328 MD Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 7315103140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02080MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Wellness Center of Baltimore, LLC CurrentSince Sep 1, 2002 Accepting new patients

Locations

8723 Belair Rd
#A
Baltimore, MD 21236
Phone (410) 529-8010

8100 Sandpiper Cir
Ste 102
Nottingham, MD 21236
Phone (410) 529-8010

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1740336296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8723 BELAIR RD STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362419",
            "telephone_number": "410-529-8010",
            "fax_number": "410-529-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8723 BELAIR RD STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362419",
            "telephone_number": "410-529-8010",
            "fax_number": "410-529-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDER",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "02080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.