Individual provider Active NPI

Nicholas Caruso, D.C.

  • Chiropractor
  • Timonium, MD
National Provider Identifier
1962525147
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01308 Issued in MD
Practice address
1818 Pot Spring Rd Ste 116
Timonium, MD 21093-4450
Phone
(410) 560-0333
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S01308 MD Primary

Addresses

Primary practice location

1818 Pot Spring Rd Ste 116
Timonium, MD 21093-4450

Mailing address

11 Lois LN
Shrewsbury, PA 17361-1860
Phone (717) 227-2252

Other practice location 1

403 Malcolm Dr
Westminster, MD 21157-6107
Phone (410) 876-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carol L. Bowman, M.D., LLC Past Accepting new patients
Lewis Family Chiropractic and Wellness Center, PA Chiropractor PastSince Dec 1, 2011 Accepting new patients

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1962525147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LOIS LN",
            "city": "SHREWSBURY",
            "state": "PA",
            "postal_code": "173611860",
            "telephone_number": "717-227-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 POT SPRING RD STE 116",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934450",
            "telephone_number": "410-560-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Malcolm Dr",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211576107",
            "country_code": "US",
            "telephone_number": "410-876-8885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "NICHOLAS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.