NPIMap

Organization Active NPI

Montgomery Family Chiropractic LLC

  • Chiropractor
  • Germantown, MD
National Provider Identifier
1881804011
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01693 Issued in MD
Legal business name
MONTGOMERY FAMILY CHIROPRACTIC LLC
Practice address
19785 Crystal Rock Drive
Suite 303
Germantown, MD 20874
Phone
(301) 540-5300
Fax
(301) 540-5344
NPI assigned
May 23, 2007
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MONTGOMERY FAMILY CHIROPRACTIC LLC NORMAN M HAENDLERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Norman Marc Haendler, DCNPI 1205936515
Title
Chiropractor
Phone
(301) 540-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S01693 MD Primary

Addresses

Primary practice location

19785 Crystal Rock Drive
Suite 303
Germantown, MD 20874

Mailing address

19785 Crystal Rock Drive
Suite 303
Germantown, MD 20874
Phone (301) 540-5300

Other identifiers 1

IdentifierTypeStateIssuer
588822700MedicaidMD

Other names 1

  • Norman M Haendler Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090515000054 DC Part B Supplier - Clinic/Group Practice 0941359392 Receives reassigned benefits from 1 practitioner
Practice locations: Germantown, MD

National Provider Directory

National Provider Directory
Part of
Montgomery Family Chiropractic LLC

Locations

19785 Crystal Rock Dr
Ste 303
Germantown, MD 20874
Phone (301) 540-5300

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1881804011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19785 CRYSTAL ROCK DRIVE",
            "address_2": "SUITE 303",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "20874",
            "telephone_number": "301-540-5300",
            "fax_number": "301-540-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19785 CRYSTAL ROCK DRIVE",
            "address_2": "SUITE 303",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "20874",
            "telephone_number": "301-540-5300",
            "fax_number": "301-540-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTGOMERY FAMILY CHIROPRACTIC LLC NORMAN M HAENDLER",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "HAENDLER",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "301-540-5300",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "588822700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norman M Haendler",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Norman M Haendler",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Germantown, MD

Sources for this page

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