Organization Active NPI

Pinnacle Health Group

Doing business as New Carrollton Therapy Center

  • Chiropractor
  • Lanham, MD
National Provider Identifier
1750583365
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1589PT Issued in MD
Legal business name
PINNACLE HEALTH GROUP
Doing business as
New Carrollton Therapy Center
Practice address
9470 Annapolis Rd Ste 404
Lanham, MD 20706-3022
Phone
(307) 577-1800
NPI assigned
Jun 5, 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. Enid Cruise, DC
Title
Owner
Phone
(301) 577-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1589PT MD Primary

Addresses

Primary practice location

9470 Annapolis Rd Ste 404
Lanham, MD 20706-3022

Mailing address

9470 Annapolis Rd Ste 404
Lanham, MD 20706-3022
Phone (307) 577-1800

Other names 1

  • New Carrollton Therapy Center Doing business as

National Provider Directory

National Provider Directory

Locations

9470 Annapolis Rd
Ste 404
Lanham, MD 20706
Phone (307) 577-1800

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750583365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD STE 404",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063022",
            "telephone_number": "307-577-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD STE 404",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063022",
            "telephone_number": "307-577-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUISE",
        "authorized_official_first_name": "ENID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-577-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "1589PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Carrollton Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.