Organization Active NPI

Richard J. Santangelo, D.C., P.C.

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1801088752
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01411 Issued in MD
Legal business name
RICHARD J. SANTANGELO, D.C., P.C.
Practice address
4303 Fitch Ave
Baltimore, MD 21236-3717
Phone
(410) 663-8610
Fax
(410) 663-8613
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Dr. Richard James Santangelo, D.C.NPI 1386857118
Title
Owner/President
Phone
(410) 663-8610

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X S01411 MD Primary

Addresses

Primary practice location

4303 Fitch Ave
Baltimore, MD 21236-3717

Mailing address

4303 Fitch Ave
Baltimore, MD 21236-3717
Phone (410) 663-8610

Other identifiers 2

IdentifierTypeStateIssuer
40068401OtherMDCARE FIRST RENDERING NO.
W371 0001OtherMDDC PLAN PROVIDER NUMBER

Other names 1

  • Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081001000345 MD Part B Supplier - Clinic/Group Practice 2466520697 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

4303 Fitch Ave
Nottingham, MD 21236
Phone (410) 663-8610

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1801088752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 FITCH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363717",
            "telephone_number": "410-663-8610",
            "fax_number": "410-663-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 FITCH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363717",
            "telephone_number": "410-663-8610",
            "fax_number": "410-663-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J. SANTANGELO, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "SANTANGELO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "410-663-8610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST RENDERING NO.",
            "identifier": "40068401",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC PLAN PROVIDER NUMBER",
            "identifier": "W371 0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.