Individual provider Active NPI

Jarrett P Cohen, DC

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1861479800
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03429 Issued in MD
Practice address
200 W Cold Spring LN
Baltimore, MD 21210-2831
Phone
(410) 685-6028
Fax
(410) 524-6608
NPI assigned
Dec 30, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03429 MD Primary

Addresses

Primary practice location

200 W Cold Spring LN
Baltimore, MD 21210-2831

Mailing address

200 W Cold Spring LN
Baltimore, MD 21210-2831
Phone (410) 685-6028

Other identifiers 1

IdentifierTypeStateIssuer
LX90LI64720901OtherMDBLUE SHEILD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070402000330 MD Practitioner - Chiropractic 0941304976 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Living Wellness Medical CenterGroup PAC ID 0244548568, 3 clinicians
Whole Body Healthcare, LLCGroup PAC ID 7012281348, 7 clinicians

Practice addresses (Care Compare)

220 W Cold Spring LN
Baltimore, MD 21210-2802
Phone (443) 524-6600

3914 Hickory Ave
Baltimore, MD 21211-1834
Phone (410) 662-4476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03429MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Living Wellness Medical Center Chiropractor CurrentSince May 10, 2016 Accepting new patients

Locations

220 W Cold Spring Ln
Baltimore, MD 21210
Phone (443) 524-6600

Organizations & group practices 3

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861479800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W COLD SPRING LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102831",
            "telephone_number": "410-685-6028",
            "fax_number": "410-524-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W COLD SPRING LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102831",
            "telephone_number": "410-685-6028",
            "fax_number": "410-524-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JARRETT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD",
            "identifier": "LX90LI64720901",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.