Individual provider Active NPI

Angela Carlynn Tarjick, D.C.

  • Chiropractor
  • Millersville, MD
National Provider Identifier
1932344272
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03566 Issued in MD
Practice address
683 Old Mill Rd
Millersville, MD 21108-1326
Phone
(410) 729-2200
Fax
(410) 729-3443
NPI assigned
Dec 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03566 MD Primary

Addresses

Primary practice location

683 Old Mill Rd
Millersville, MD 21108-1326

Mailing address

683 Old Mill Rd
Millersville, MD 21108-1326
Phone (410) 729-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090202000277 MD Practitioner - Chiropractic 0143384453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3168 Braverton St
Suite 302
Edgewater, MD 21037-2680
Phone (410) 353-1616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03566MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Effective Integrative Healthcare, LLC Chiropractor CurrentSince Jan 1, 2015 Accepting new patients
South River Family Chiropractic LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

3168 Braverton St
Ste 302
Edgewater, MD 21037
Phone (410) 353-1616

681 Old Mill Rd
Millersville, MD 21108
Phone (410) 729-2200

683 Old Mill Rd
Millersville, MD 21108
Phone (410) 530-3089

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.

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1932344272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 OLD MILL RD",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081326",
            "telephone_number": "410-729-2200",
            "fax_number": "410-729-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 OLD MILL RD",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081326",
            "telephone_number": "410-729-2200",
            "fax_number": "410-729-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARJICK",
        "first_name": "ANGELA",
        "middle_name": "CARLYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.