Organization Active NPI

Muneses Chiropractic Center PC

  • Chiropractor
  • Ellicott City, MD
National Provider Identifier
1811226178
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01619 Issued in MD
Legal business name
MUNESES CHIROPRACTIC CENTER PC
Practice address
10324A Baltimore National Pike
Ellicott City, MD 21042-2128
Phone
(410) 418-4007
Fax
(410) 418-4009
NPI assigned
Dec 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Dr. Jeffrey Muneses, D.C.NPI 1740315241
Title
Owner
Phone
(410) 418-4007

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 01619 MD Primary

Addresses

Primary practice location

10324A Baltimore National Pike
Ellicott City, MD 21042-2128

Mailing address

10324A Baltimore National Pike
Ellicott City, MD 21042-2128
Phone (410) 418-4007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100211000659 MD Part B Supplier - Clinic/Group Practice 9335282417 Receives reassigned benefits from 1 practitioner
Practice locations: Ellicott City, MD

National Provider Directory

National Provider Directory

Locations

10324A Baltimore National Pike
Ellicott City, MD 21042
Phone (410) 418-4007

10324 Baltimore National Pike
#A
Ellicott City, MD 21042
Phone (410) 418-4007

Practitioners & affiliated clinicians

Practitioners 1

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": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1811226178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10324A BALTIMORE NATIONAL PIKE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422128",
            "telephone_number": "410-418-4007",
            "fax_number": "410-418-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10324A BALTIMORE NATIONAL PIKE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422128",
            "telephone_number": "410-418-4007",
            "fax_number": "410-418-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNESES CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "MUNESES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-418-4007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.