NPIMap

Organization Active NPI

K & S Chiropractic, LLC

  • Chiropractor
  • Eldersburg, MD
National Provider Identifier
1962690321
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01836 Issued in MD
Legal business name
K & S CHIROPRACTIC, LLC
Practice address
1311 Londontown Blvd Ste 115
Eldersburg, MD 21784-6439
Phone
(410) 552-3822
NPI assigned
Oct 11, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Dr. Kevin M. Brown, DCNPI 1366512154
Title
Owner
Phone
(410) 552-3822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01806 MD
Chiropractor 111N00000X 01836 MD Primary

Addresses

Primary practice location

1311 Londontown Blvd Ste 115
Eldersburg, MD 21784-6439

Mailing address

1311 Londontown Blvd Ste 115
Eldersburg, MD 21784-6439
Phone (410) 552-3822

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111122000029 MD Part B Supplier - Clinic/Group Practice 9133393549 Receives reassigned benefits from 2 practitioners
Practice locations: Eldersburg, MD

National Provider Directory

National Provider Directory

Locations

107 Painters Mill Rd
Owings Mills, MD 21117
Phone (410) 581-8200

1311 Londontown Blvd
Ste 115
Sykesville, MD 21784
Phone (410) 552-3822

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1962690321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 LONDONTOWN BLVD STE 115",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846439",
            "telephone_number": "410-552-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 LONDONTOWN BLVD STE 115",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846439",
            "telephone_number": "410-552-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & S CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-552-3822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01806",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.