Active NPI
Larry H Plotkin, D.C.
- Chiropractor
- Elkridge, MD
National Provider Identifier
1831215169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S01692
- Practice address
- 6305C Washington Blvd
Elkridge, MD 21075-5348 - Phone
- (410) 379-8300
- Fax
- (410) 379-0228
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | S01692 | MD | Primary |
Addresses
Primary practice location
6305C Washington Blvd
Elkridge, MD 21075-5348
Mailing address
6010 Meadowridge Center Dr
Ste K
Elkridge, MD 21075-6089
Phone (410) 379-8300
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6978412004 | Other | ASHN | |
| 101022 | Other | MD | JHHC |
| DD0972 | Other | MEDICARE RR | |
| 22281 | Other | MH | ALLIANCE |
| 2736388 | Other | AETNA | |
| 204558300 | Other | MAMD | |
| S765AL | Other | MD | BSMD |
| E466 | Other | DC | BSDC |
| S756 | Other | MD | MEDICARE ID-TYPE UNSPECIF |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6010 Meadowridge Ctr Dr
Suite K
Elkridge, MD 21075-6089
Phone (410) 379-8300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1692 | MD | MD | Clinical Psychologist |
| S01692 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yc Clinic LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Elkridge, MD
- NPI 1346275252
-
- Chiropractor
- Glen Burnie, MD
- NPI 1689790560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1831215169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 MEADOWRIDGE CENTER DR",
"address_2": "STE K",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756089",
"telephone_number": "410-379-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6305C WASHINGTON BLVD",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210755348",
"telephone_number": "410-379-8300",
"fax_number": "410-379-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOTKIN",
"first_name": "LARRY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S01692",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHN",
"identifier": "6978412004",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JHHC",
"identifier": "101022",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "DD0972",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE",
"identifier": "22281",
"state": "MH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2736388",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMD",
"identifier": "204558300",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSMD",
"identifier": "S765AL",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSDC",
"identifier": "E466",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-TYPE UNSPECIF",
"identifier": "S756",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.