Organization Active NPI

Mid-Atlantic Chiropractic North Frederick, LLC

  • Chiropractor
  • Frederick, MD
National Provider Identifier
1952910481
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MID-ATLANTIC CHIROPRACTIC NORTH FREDERICK, LLC
Practice address
2480 Osprey Way Ste C
Frederick, MD 21701-1959
Phone
(301) 698-0001
Fax
(301) 698-0031
NPI assigned
Jul 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Brandi Rashidian
Title
Clinic Director
Phone
(301) 698-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2480 Osprey Way Ste C
Frederick, MD 21701-1959

Mailing address

7196 Crestwood Blvd Ste 100
Frederick, MD 21703-1845
Phone (301) 698-0001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200826000757 MD Part B Supplier - Clinic/Group Practice 3971920646 Receives reassigned benefits from 2 practitioners
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Locations

7196 Crestwood Blvd
Ste 100
Frederick, MD 21703
Phone (301) 698-0001

2480 Osprey Way
Ste C
Frederick, MD 21701
Phone (301) 698-0001

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1952910481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7196 CRESTWOOD BLVD STE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217031845",
            "telephone_number": "301-698-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 OSPREY WAY STE C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217011959",
            "telephone_number": "301-698-0001",
            "fax_number": "301-698-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC CHIROPRACTIC NORTH FREDERICK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "RASHIDIAN",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "301-698-0001"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.