Active NPI
Rodesha Zakia Davis
- Chiropractor
- Bel Air, MD
National Provider Identifier
1861053977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S04017
- Practice address
- 1035 Emmorton Rd
Bel Air, MD 21014-5469 - Phone
- (410) 569-5969
- NPI assigned
- Jun 28, 2019
- Sex
- Female
- 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 | S04017 | MD | Primary |
Addresses
Primary practice location
1035 Emmorton Rd
Bel Air, MD 21014-5469
Mailing address
10630 Little Patuxent Pkwy
Ste 329
Columbia, MD 21044-3204
Phone (410) 569-5969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
220 W Cold Spring LN
Baltimore, MD 21210-2802
Phone (443) 524-6600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S04017 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Wellness Medical Center | Chiropractor | Current | Accepting new patients |
| Elite Chiropractic & Sport, LLC | Chiropractor | Current | Accepting new patients |
Locations
220 W Cold Spring Ln
Baltimore, MD 21210
Phone (443) 524-6600
10630 Little Patuxent Pkwy
Ste 329
Columbia, MD 21044
Phone (443) 718-9432
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.
-
- Chiropractor
- Columbia, MD
- NPI 1306230339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1861053977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10630 LITTLE PATUXENT PKWY",
"address_2": "STE 329",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443204",
"telephone_number": "410-569-5969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 EMMORTON RD",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210145469",
"telephone_number": "410-569-5969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "RODESHA",
"middle_name": "ZAKIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-28",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S04017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.