Individual provider Active NPI

Silke Laub, D.C.

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1942628029
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5560 Issued in OR
Practice address
6301 N Charles St Ste 1
Baltimore, MD 21212-1040
Phone
(071) 238-9670
Fax
(971) 275-1849
NPI assigned
Apr 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5560 OR Primary

Addresses

Primary practice location

6301 N Charles St Ste 1
Baltimore, MD 21212-1040

Mailing address

6307 Boxwood Rd
Baltimore, MD 21212-2211
Phone (971) 238-9670

Other practice location 1

1975 NW 167th Pl
Suite 100
Beaverton, OR 97006-4908
Phone (971) 238-9670

Other identifiers 1

IdentifierTypeStateIssuer
C16813OtherMDMARYLAND BOARD OF CHIROPRACTIC EXAMINER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180731001618 MD Practitioner - Chiropractic 5092063594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6301 N Charles St
Suite 1
Baltimore, MD 21212-1040
Phone (443) 841-7817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5560ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Roland Park Chiropractic, LLC CurrentSince May 5, 2018 Accepting new patients

Locations

6301 N Charles St
Ste 1
Baltimore, MD 21212
Phone (410) 377-4430

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": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942628029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 BOXWOOD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122211",
            "telephone_number": "971-238-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 N CHARLES ST STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121040",
            "telephone_number": "071-238-9670",
            "fax_number": "971-275-1849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1975 NW 167th Pl",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970064908",
            "country_code": "US",
            "telephone_number": "971-238-9670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUB",
        "first_name": "SILKE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF CHIROPRACTIC EXAMINER",
            "identifier": "C16813",
            "state": "MD"
        }
    ],
    "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 Mar 17, 2018; 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.