Active NPI
Diane Grace Rossello, D.C.
- Chiropractor
- Bowie, MD
National Provider Identifier
1861565343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- SO1133
- Practice address
- 4000 Mitchellville Rd
Suite B122
Bowie, MD 20716-3104 - Phone
- (301) 464-9400
- NPI assigned
- Nov 15, 2006
- 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 | SO1133 | MD | Primary |
Addresses
Primary practice location
4000 Mitchellville Rd
Suite B122
Bowie, MD 20716-3104
Mailing address
PO Box 1687
Edgewater, MD 21037-7687
Phone (301) 464-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4000 Mitchellville Rd
Suite B122
Bowie, MD 20716-3120
Phone (301) 464-9400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SO1133 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rossello Family Chiropractic, PA | Chiropractor | Current | Accepting new patients |
Locations
4000 Mitchellville Rd
Ste B122
Mitchellville, MD 20716
Phone (301) 464-9400
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556668800000",
"number": "1861565343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1687",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210377687",
"telephone_number": "301-464-9400",
"fax_number": "301-464-2972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 MITCHELLVILLE RD",
"address_2": "SUITE B122",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163104",
"telephone_number": "301-464-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSELLO",
"first_name": "DIANE",
"middle_name": "GRACE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2019-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "SO1133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.