Individual provider Active NPI

Harry A Derr III, D.C.

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1881670230
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03655 Issued in MD
Practice address
220 W Cold Spring LN
Baltimore, MD 21210-2802
Phone
(443) 524-6600
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S03655 MD Primary

Addresses

Primary practice location

220 W Cold Spring LN
Baltimore, MD 21210-2802

Mailing address

220 W Cold Spring LN
Baltimore, MD 21210-2802

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000752 MD Practitioner - Chiropractic 2961410287 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

6410 Dobbin Rd
Suite a
Columbia, MD 21045-4774
Phone (443) 319-5770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S03655MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Upstat Professional Services, LLC Chiropractor CurrentSince Dec 21, 2011 Accepting new patients
Maloney Chiropractic LLC Chiropractor Past Accepting new patients
Elite Family Chiropractic Chiropractor Past Accepting new patients
Russell M Hoch Chiropractor Past Accepting new patients

Locations

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

6420 Dobbin Rd
Ste A
Columbia, MD 21045
Phone (443) 319-5770

6410 Dobbin Rd
Ste A
Columbia, MD 21045
Phone (443) 319-5770

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1881670230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W COLD SPRING LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W COLD SPRING LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102802",
            "telephone_number": "443-524-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERR",
        "first_name": "HARRY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03655",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 27, 2011; 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.