Organization Active NPI

Dr. Maria Yiassemides, P.a.

  • Chiropractor
  • Phoenix, MD
National Provider Identifier
1821369935
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01553 Issued in MD
Legal business name
DR. MARIA YIASSEMIDES, P.A.
Practice address
3421 Sweet Air Rd
Suite 5
Phoenix, MD 21131-1812
Phone
(410) 628-0010
Fax
(410) 628-4837
NPI assigned
Jan 20, 2012
Last updated
Jan 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Dr. Maria Yiassemides, D.C.NPI 1194895284
Title
Chiropractor
Phone
(410) 628-0010

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 S01553 MD Primary

Addresses

Primary practice location

3421 Sweet Air Rd
Suite 5
Phoenix, MD 21131-1812

Mailing address

3421 Sweet Air Rd
Suite 5
Phoenix, MD 21131-1812
Phone (410) 628-0010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120605000014 MD Part B Supplier - Clinic/Group Practice 2860656832 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, MD

National Provider Directory

National Provider Directory

Locations

3421 Sweet Air Rd
Ste 5
Phoenix, MD 21131
Phone (410) 628-0010

Practitioners & affiliated clinicians

Practitioners 1

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": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1821369935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 SWEET AIR RD",
            "address_2": "SUITE 5",
            "city": "PHOENIX",
            "state": "MD",
            "postal_code": "211311812",
            "telephone_number": "410-628-0010",
            "fax_number": "410-628-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 SWEET AIR RD",
            "address_2": "SUITE 5",
            "city": "PHOENIX",
            "state": "MD",
            "postal_code": "211311812",
            "telephone_number": "410-628-0010",
            "fax_number": "410-628-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARIA YIASSEMIDES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "YIASSEMIDES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "410-628-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.