Active NPI
Eugene Glenn Neddo Jr., D.C.
- Chiropractor
- Cockeysville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S03707
- Practice address
- 10153 York Rd Ste 105
Cockeysville, MD 21030-3398 - Phone
- (410) 628-2808
- Fax
- (410) 628-2818
- NPI assigned
- Feb 1, 2011
- Sex
- Male
- 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 | S03707 | MD | Primary |
Addresses
Primary practice location
10153 York Rd Ste 105
Cockeysville, MD 21030-3398
Mailing address
10153 York Rd Ste 105
Cockeysville, MD 21030-3398
Phone (410) 628-2808
Other practice location 1
530 Hook Rd
Westminster, MD 21157-5952
Phone (443) 834-8649
Other practice location 2
330 140 Village Rd Ste 9A
Westminster, MD 21157-6127
Phone (410) 876-8881
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
330 140 Village Rd
Suite 9a
Westminster, MD 21157-6127
Phone (410) 876-8881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey N Wallace DC PC | Chiropractor | Current | Accepting new patients |
| Scott L. Millison, D.C. | Past | Accepting new patients |
Locations
330 140 Village Rd
Ste 9A
Westminster, MD 21157
Phone (410) 876-8881
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
- Westminster, MD
- NPI 1891813366
-
- Durable Medical Equipment & Medical Supplies
- Cockeysville, MD
- NPI 1346427226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1891091377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10153 YORK RD STE 105",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210303398",
"telephone_number": "410-628-2808",
"fax_number": "410-628-2818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10153 YORK RD STE 105",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210303398",
"telephone_number": "410-628-2808",
"fax_number": "410-628-2818"
}
],
"practiceLocations": [
{
"address_1": "530 Hook Rd",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "MD",
"postal_code": "211575952",
"country_code": "US",
"telephone_number": "443-834-8649",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "330 140 Village Rd Ste 9A",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "MD",
"postal_code": "211576127",
"country_code": "US",
"telephone_number": "410-876-8881",
"fax_number": "410-848-6343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEDDO",
"first_name": "EUGENE",
"middle_name": "GLENN",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S03707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cockeysville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.