Individual provider Active NPI

Isabel Rose Paci

  • Chiropractor
  • Laurel, MD
National Provider Identifier
1760223440
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04205 Issued in MD
Practice address
13992 Baltimore Ave
#201A
Laurel, MD 20707-5010
Phone
(301) 953-0256
NPI assigned
Jun 5, 2024
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04205 MD Primary

Addresses

Primary practice location

13992 Baltimore Ave
#201A
Laurel, MD 20707-5010

Mailing address

13992 Baltimore Ave Ste 201a
Laurel, MD 20707-5010
Phone (301) 953-0256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022002461 DC Practitioner - Chiropractic 5294267746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13992 Baltimore Ave
Suite 201a
Laurel, MD 20707-5010
Phone (301) 953-0235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04205MDMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Laurel Regional Chiropractic, LLC Chiropractor CurrentSince Aug 10, 2024 Accepting new patients

Locations

13992 Baltimore Ave
Ste 201A
Laurel, MD 20707
Phone (301) 953-0235

9811 Mallard Dr
Ste 218
Laurel, MD 20708
Phone (301) 953-0256

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, 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": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1760223440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13992 BALTIMORE AVE STE 201A",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075010",
            "telephone_number": "301-953-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13992 BALTIMORE AVE",
            "address_2": "#201A",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075010",
            "telephone_number": "301-953-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACI",
        "first_name": "ISABEL",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "04205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.