Zen Chiropractic & Wellness Space

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ZEN CHIROPRACTIC & WELLNESS SPACE

Practice address

6414 Park Heights Ave Ste G1
Baltimore, MD 21215-3064

Phone

(410) 307-4774

NPI assigned

Nov 17, 2022

Last updated

Mar 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Octavia Prince, DCNPI 1104442573

Title

Chiropractor/Owner

Phone

(404) 263-1004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 7

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.

• Octavia C Prince

  • Chiropractor
  • Baltimore, MD
  • NPI 1104442573
  Medicare reassignment NPD Authorized official
• Adam Marc Fidel, D.C.

  • Chiropractor
  • Pikesville, MD
  • NPI 1154490050
  NPD
• Ilene Elkins Fidel, D.C.

  • Chiropractor
  • Pikesville, MD
  • NPI 1003995879
  NPD
• Blaine A Johnson, D.C.

  • Chiropractor
  • Bel Air, MD
  • NPI 1447389820
  NPD
• Cheryl Ellen Kalb, D.C.

  • Chiropractor
  • Baltimore, MD
  • NPI 1104915719
  NPD
• Antoine Jerrell Wright, D.C.

  • Chiropractor
  • Pikesville, MD
  • NPI 1306439492
  NPD
• Brittany Beth Ruth

  • Family Nurse Practitioner
  • Pikesville, MD
  • NPI 1134753791
  NPD (past)

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1841909900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6414 PARK HEIGHTS AVE STE G1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153064",
            "telephone_number": "410-307-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 PARK HEIGHTS AVE STE G1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153064",
            "telephone_number": "410-307-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEN CHIROPRACTIC & WELLNESS SPACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "404-263-1004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailea Jane Zelinka, CPNP-AC
• Shereen Zellipour
• Nigist M Zemariame, MD
• Destiny Zembower
• Anna Zemelshtern, OD
• Zen Psychiatry LLC (Telapsychiatry)
• Colleen Kelleher Zenczak-Magill, AU.D.
• Eliza Zenczykiewicz, AGACNP-BC
• Steven Zeng, MD
• Xiangxing Zeng, MD

• Chiropractor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.