Individual provider Active NPI

Tracy Nana Asare, DC

  • Chiropractor
  • Laurel, MD
National Provider Identifier
1982459210
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04215 Issued in MD
Practice address
14201 Laurel Park Dr Ste 212
Laurel, MD 20707-5203
Phone
(240) 341-0005
Fax
(240) 341-0004
NPI assigned
Apr 19, 2024
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04215 MD Primary

Addresses

Primary practice location

14201 Laurel Park Dr Ste 212
Laurel, MD 20707-5203

Mailing address

13803 Briarwood Dr Apt 1813
Laurel, MD 20708-1352
Phone (202) 276-2476

Other practice location 1

4301 Garden City Dr Ste 205
Hyattsville, MD 20785-2365
Phone (240) 341-0005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240515002561 DC Practitioner - Chiropractic 1759722267 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04215MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Artisan Chiropractic Clinic, LLC Chiropractor CurrentSince Apr 22, 2024 Accepting new patients
Artisan Chiropractic Clinic, LLC Chiropractor PastSince Jul 22, 2025 Accepting new patients

Locations

4301 Garden City Dr
Ste 205
Hyattsville, MD 20785
Phone (240) 341-0005

14201 Laurel Park Dr
Ste 212
Laurel, MD 20707
Phone (240) 341-0005

11750 Business Park Dr
Ste 206
Waldorf, MD 20601
Phone (240) 341-0005

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1982459210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13803 BRIARWOOD DR APT 1813",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081352",
            "telephone_number": "202-276-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR STE 212",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "240-341-0005",
            "fax_number": "240-341-0004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 Garden City Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Hyattsville",
            "state": "MD",
            "postal_code": "207852365",
            "country_code": "US",
            "telephone_number": "240-341-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASARE",
        "first_name": "TRACY",
        "middle_name": "NANA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "04215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.