Individual provider Active NPI

Derek Carroll Curran, D.C.

  • Chiropractor
  • Edgewater, MD
National Provider Identifier
1780933143
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03774 Issued in MD
Practice address
137 Mitchells Chance Rd Ste 100
Edgewater, MD 21037
Phone
(443) 294-6873
Fax
(443) 294-6874
NPI assigned
Aug 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S03774 MD Primary

Addresses

Primary practice location

137 Mitchells Chance Rd Ste 100
Edgewater, MD 21037

Mailing address

1815 Generals Hwy
Annapolis, MD 21401-6543

Other practice location 1

14904 Jefferson Davis Hwy
#301
Woodbridge, VA 22191-3908
Phone (703) 499-8840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180920001439 MD Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 9234480815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Chiropractic and Physical Medicine LLCGroup PAC ID 6305197963, 2 clinicians

Practice addresses (Care Compare)

137 Mitchells Chance Rd
Suite 100
Edgewater, MD 21037-2793
Phone (443) 294-6873

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Chiropractic & Physical Medicine LLC Chiropractor CurrentSince Oct 14, 2014 Accepting new patients
Jefferson Davis Chiropractic & PT Chiropractor Past Accepting new patients
Virginia Family Chiropractic Chiropractor Past Accepting new patients

Locations

137 Mitchells Chance Rd
Ste 100
Edgewater, MD 21037
Phone (443) 294-6873

Organizations & group practices 3

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": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1780933143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 GENERALS HWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214016543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MITCHELLS CHANCE RD STE 100",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "21037",
            "telephone_number": "443-294-6873",
            "fax_number": "443-294-6874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14904 Jefferson Davis Hwy",
            "address_2": "#301",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913908",
            "country_code": "US",
            "telephone_number": "703-499-8840",
            "fax_number": "703-499-8842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CURRAN",
        "first_name": "DEREK",
        "middle_name": "CARROLL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-31",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, MD

Sources for this page

Verify at the official NPI Registry.