Active NPI
Kovach Chiropractic and Wellness Center PA
- Chiropractor
- Gambrills, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 03509
- Legal business name
- KOVACH CHIROPRACTIC AND WELLNESS CENTER PA
- Practice address
- 959 Annapolis Rd
Gambrills, MD 21054-1028 - Phone
- (410) 697-3566
- Fax
- (410) 697-3567
- NPI assigned
- Aug 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alicia Marie Kovach, D.C.
- Title
- Owner
- Phone
- (410) 490-4610
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 03509 | MD | Primary |
Addresses
Primary practice location
959 Annapolis Rd
Gambrills, MD 21054-1028
Mailing address
959 Annapolis Rd
Gambrills, MD 21054-1028
Phone (410) 697-3566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
377B Gambrills Rd
Gambrills, MD 21054
377 Gambrills Rd
#B
Gambrills, MD 21054
Phone (410) 697-3566
430 Kent Narrow Way N
Grasonville, MD 21638
Phone (410) 490-4610
440 Main St
Ste 112
Stevensville, MD 21666
Phone (410) 340-4216
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Gambrills, MD
- NPI 1225105992
-
- Chiropractor
- Lanham, MD
- NPI 1770918252
-
- Chiropractor
- Millersville, MD
- NPI 1588137194
-
- Surgery Physician
- Easton, MD
- NPI 1437310612
-
- Family Nurse Practitioner
- Annapolis, MD
- NPI 1134425028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616630400000",
"number": "1801143649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "959 ANNAPOLIS RD",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "210541028",
"telephone_number": "410-697-3566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "959 ANNAPOLIS RD",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "210541028",
"telephone_number": "410-697-3566",
"fax_number": "410-697-3567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOVACH CHIROPRACTIC AND WELLNESS CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-10",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A",
"authorized_official_last_name": "KOVACH",
"authorized_official_first_name": "ALICIA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-490-4610",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MD",
"license": "03509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gambrills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.