Organization Active NPI

First Chiropractic LLC

  • Clinic/Center
  • Wheaton, MD
National Provider Identifier
1992906069
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
S01868 Issued in MD
Legal business name
FIRST CHIROPRACTIC LLC
Practice address
11302 Veirs Mill Road
Wheaton, MD 20902-2557
Phone
(301) 962-7300
Fax
(301) 962-8952
NPI assigned
May 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Lisa Beth Hepfer, D.C.NPI 1881736098
Title
Owner
Phone
(301) 962-7300

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
Clinic/Center 261Q00000X S01868 MD Primary

Addresses

Primary practice location

11302 Veirs Mill Road
Wheaton, MD 20902-2557

Mailing address

11302 Veirs Mill Road
Wheaton, MD 20902-2557
Phone (301) 962-7300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130508000080 DC Part B Supplier - Clinic/Group Practice 8820235054 Receives reassigned benefits from 1 practitioner
Practice locations: Wheaton, MD

National Provider Directory

National Provider Directory

Locations

11302 Veirs Mill Rd
Wheaton, MD 20902
Phone (301) 962-7300

Practitioners & affiliated clinicians

Practitioners 2

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992906069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11302 VEIRS MILL ROAD",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022557",
            "telephone_number": "301-962-7300",
            "fax_number": "301-962-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11302 VEIRS MILL ROAD",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022557",
            "telephone_number": "301-962-7300",
            "fax_number": "301-962-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEPFER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-962-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "S01868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, 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.
  • 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.