Individual provider Active NPI

Veronica Anne Antico, D.C.

  • Chiropractor
  • Columbia, MD
National Provider Identifier
1841544517
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01957 Issued in MD
Practice address
8894 Stanford Blvd. Suite 102
Columbia, MD 21046
Phone
(443) 259-0235
Fax
(443) 259-0236
NPI assigned
Nov 2, 2012
Last updated
Nov 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01957 MD Primary

Addresses

Primary practice location

8894 Stanford Blvd. Suite 102
Columbia, MD 21046

Mailing address

8894 Stanford Blvd. Suite 102
Columbia, MD 21046
Phone (443) 259-0235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141007002510 MD Practitioner - Chiropractic 0749400158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

8894 Stanford Blvd
Suite 102
Columbia, MD 21045-5161
Phone (443) 745-5859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01957MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Howard County Chiropractic Spine & Sports Rehabilitation. LLC CurrentSince Jun 17, 2014 Accepting new patients
Total Health & Rehab Chiropractic-Physical Therapy-Wellness, LLC PastSince Jun 17, 2014 Accepting new patients
Healthbridge Chiropractic Chiropractor Past Accepting new patients
Spineworks Medical Center, LLC Past Accepting new patients

Locations

8894 Stanford Blvd
Ste 102
Columbia, MD 21045
Phone (443) 259-0235

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1841544517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8894 STANFORD BLVD. SUITE 102",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21046",
            "telephone_number": "443-259-0235",
            "fax_number": "443-259-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8894 STANFORD BLVD. SUITE 102",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21046",
            "telephone_number": "443-259-0235",
            "fax_number": "443-259-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTICO",
        "first_name": "VERONICA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.

Verify at the official NPI Registry.