Organization Active NPI

Integrated Health Center of Bel Air, LLC

  • Chiropractor
  • Bel Air, MD
National Provider Identifier
1982821005
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INTEGRATED HEALTH CENTER OF BEL AIR, LLC
Practice address
4B North Ave
Suite 310
Bel Air, MD 21014-2329
Phone
(410) 638-1611
Fax
(410) 638-5413
NPI assigned
Apr 19, 2007
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
Craig L Chavis, DC
Title
Owner
Phone
(410) 638-1611

Specialties & licenses 1

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

Addresses

Primary practice location

4B North Ave
Suite 310
Bel Air, MD 21014-2329

Mailing address

4B North Ave
Suite 310
Bel Air, MD 21014-2329
Phone (410) 638-1611

National Provider Directory

National Provider Directory

Locations

4B North Ave
Ste 310
Bel Air, MD 21014
Phone (410) 638-1468

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982821005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4B NORTH AVE",
            "address_2": "SUITE 310",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142329",
            "telephone_number": "410-638-1611",
            "fax_number": "410-638-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4B NORTH AVE",
            "address_2": "SUITE 310",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142329",
            "telephone_number": "410-638-1611",
            "fax_number": "410-638-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH CENTER OF BEL AIR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAVIS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-638-1611",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, 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.