Organization Active NPI

Woodbine Chiropractic PC

Doing business as Woodbine Clinic of Chiropractic

  • Rehabilitation Chiropractor
  • Woodbine, MD
National Provider Identifier
1982785127
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
WOODBINE CHIROPRACTIC PC
Doing business as
Woodbine Clinic of Chiropractic
Practice address
710 Lisbon Center Dr
Suite H
Woodbine, MD 21797-8629
Phone
(301) 489-9841
Fax
(301) 624-5731
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ali Lankerani, D.C.NPI 1407937790
Title
Partner
Phone
(301) 489-9841

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

710 Lisbon Center Dr
Suite H
Woodbine, MD 21797-8629

Mailing address

710 Lisbon Center Dr
Suite H
Woodbine, MD 21797-8629
Phone (301) 489-9841

Other identifiers 2

IdentifierTypeStateIssuer
G903OtherDCCAREFIRST DC
KEF3OtherMDCAREFIRST MD

Other names 1

  • WOODBINE CLINIC OF CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory

Locations

710 Lisbon Center Dr
Ste H
Woodbine, MD 21797
Phone (301) 620-9762

Practitioners & affiliated clinicians

Practitioners 2

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982785127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LISBON CENTER DR",
            "address_2": "SUITE H",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217978629",
            "telephone_number": "301-489-9841",
            "fax_number": "301-624-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LISBON CENTER DR",
            "address_2": "SUITE H",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217978629",
            "telephone_number": "301-489-9841",
            "fax_number": "301-624-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBINE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANKERANI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "301-489-9841",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST DC",
            "identifier": "G903",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD",
            "identifier": "KEF3",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODBINE CLINIC OF CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbine, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.