NPIMap

Organization Active NPI

Hodges Chiropractic PA

  • Sports Physician Chiropractor
  • Arnold, MD
National Provider Identifier
1801034079
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
S01447 Issued in MD
Legal business name
HODGES CHIROPRACTIC PA
Practice address
1300 E Ritchie Hwy
Arnold, MD 21012-2244
Phone
(410) 647-6342
Fax
(410) 647-6332
NPI assigned
Jan 27, 2009
Last updated
Feb 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Dr. Kathryn A Hodges, DCNPI 1417949868
Title
President
Phone
(410) 647-6342

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)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X S01447 MD Primary

Addresses

Primary practice location

1300 E Ritchie Hwy
Arnold, MD 21012-2244

Mailing address

1300 Ritchie Hwy
Arnold, MD 21012-2244
Phone (410) 647-6342

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090204000069 MD Part B Supplier - Clinic/Group Practice 4880758911 Receives reassigned benefits from 1 practitioner
Practice locations: Annapolis, MD

National Provider Directory

National Provider Directory

Locations

43 Old Solomons Island Rd
Ste 201
Annapolis, MD 21401
Phone (410) 266-3888

1300 Ritchie Hwy
Arnold, MD 21012
Phone (410) 647-5380

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1801034079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 RITCHIE HWY",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122244",
            "telephone_number": "410-647-6342",
            "fax_number": "410-647-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E RITCHIE HWY",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122244",
            "telephone_number": "410-647-6342",
            "fax_number": "410-647-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HODGES CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-647-6342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MD",
            "license": "S01447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.