Individual provider Active NPI

Jean Ellen Thompson, D.C.

  • Chiropractor
  • Columbia, MD
National Provider Identifier
1902019789
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3413 Issued in MD
Practice address
5513 Twin Knolls Rd Ste 219
Columbia, MD 21045-3264
Phone
(410) 740-1112
Fax
(104) 740-1117
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3413 MD Primary

Addresses

Primary practice location

5513 Twin Knolls Rd Ste 219
Columbia, MD 21045-3264

Mailing address

5513 Twin Knolls Rd Ste 219
Columbia, MD 21045-3264
Phone (443) 745-8905

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122001285 MD Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 9335104082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Logan College of Chiropractic, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5513 Twin Knolls Rd
Suite 219
Columbia, MD 21045-3264
Phone (443) 745-8905

8860 Columbia 100 Pkwy
Suite 207
Columbia, MD 21045-2195

8885 Centre Park Dr
Columbia, MD 21045-2199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3413MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Chiropractic and Wellness Center, LLC Chiropractor CurrentSince Jan 1, 2008 Accepting new patients

Locations

5513 Twin Knolls Rd
Ste 219
Columbia, MD 21045
Phone (410) 844-1577

8885 Centre Park Dr
Ste 2F
Columbia, MD 21045
Phone (301) 806-6580

8860 Columbia 100 Pkwy
Ste 207
Columbia, MD 21045
Phone (410) 884-0888

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1902019789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5513 TWIN KNOLLS RD STE 219",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453264",
            "telephone_number": "443-745-8905",
            "fax_number": "104-740-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5513 TWIN KNOLLS RD STE 219",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453264",
            "telephone_number": "410-740-1112",
            "fax_number": "104-740-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JEAN",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "3413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.