BACK TO BASICS CHIROPRACTIC CENTER, PC (NPI# 1730474669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730474669 |
| Entity Type | Organization |
| Organization Name | BACK TO BASICS CHIROPRACTIC CENTER, PC |
| Practice Address |
4701 Randolph Rd Suite G5 Rockville MD 20852-2259 |
| Practice Telephone | 3014682225 |
| Mailing Telephone | 3014682225 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |
| Authorized Official Name | DR. STANLEY MICHAEL DULSKI (PRESIDENT) |
| Authorized Official Telephone | 3014682225 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BCBS PROVIDER NUMBER | 07CFSM | 01 |
| MD | BCBS FEDERAL | 41030001 | 01 |
| Street Address |
4701 RANDOLPH RD SUITE G5 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20852-2259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245016 | James Robert Christina | Podiatrist | 4701 Randolph Rd, Ste 115, Rockville, MD 20852-2260 | 2005-06-17 |
| 1134676000 | Proflex Physical Therapy of Maryland, LLC | Clinic/Center | 4701 Randolph Rd, 105, Rockville, MD 20852-2257 | 2016-09-08 |
| 1982071171 | Ancy Alford | Physical Therapist | 4701 Randolph Rd, Suite 105, Rockville, MD 20852-2257 | 2015-08-24 |
| 1841688546 | Nicholas Jan | Physical Therapist | 4701 Randolph Rd, Ste 105, Rockville, MD 20852-2260 | 2015-01-03 |
| 1649676503 | Montgomery Oral & Facial Surgery, LLC | Dentist | 4701 Randolph Rd, Suite G-10, Rockville, MD 20852-2257 | 2014-11-05 |
| 1871994806 | Shin Orthodontics | Dentist | 4701 Randolph Rd, Suite 108, Rockville, MD 20852-2257 | 2014-09-09 |
| 1942573860 | Montgomery Oral & Facial Surgery, LLC | Dentist | 4701 Randolph Rd, G10, Rockville, MD 20852-2257 | 2012-02-23 |
| 1982997946 | Zachary Cohen | Physical Therapist | 4701 Randolph Rd, Suite 105, Rockville, MD 20852-2257 | 2011-05-24 |
| 1467695593 | Montgomery Oral & Facial Surgery | Clinic/Center | 4701 Randolph Rd, Suite G10, Rockville, MD 20852-2257 | 2009-04-20 |
| 1861645491 | Nishtha C Sanghani | Physical Medicine & Rehabilitation | 4701 Randolph Rd, Suite 208, Rockville, MD 20852-2257 | 2008-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811249 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 | 2020-02-03 |
| 1073161253 | Center for Transformative Care | Clinic/Center | 11140 Rockville Pike, #303, Rockville, MD 20852 | 2019-08-30 |
| 1073160388 | Robin Burgess | Nurse Practitioner | 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 | 2019-08-21 |
| 1548722309 | Anne Alexandre | Home Health Aide | 1600 Nebel St, Bethesda, MD 20852 | 2019-04-02 |
| 1043794464 | Jeanne Marie Pantalone | Social Worker | 263 Congressional Lane Apt 605, Rockville, MD 20852 | 2018-09-21 |
| 1538640107 | Jessica Kay Foos | Occupational Therapy Assistant | Hebrew Home of Greater Washington, 6121 Montrose Rd, Rockville, MD 20852 | 2018-08-22 |
| 1447737218 | Sara Haile | Occupational Therapist | Fitness for Health, 11140 Rockville Pike Suite 303, Rockville, MD 20852 | 2018-07-25 |
| 1134605009 | The Center for Conception and Pelvic Surgery, Inc | Clinic/Center | 3202 Tower Oaks Blvd Ste 370b, Rockville, MD 20852 | 2018-07-13 |
| 1598259095 | Monroe Operations, LLC | Clinic/Center | 12300 Twinbrook Pkwy Ste 250, Rockville, MD 20852 | 2018-06-18 |
| 1740771179 | Advanced Practitioner Healthcare Networking, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852 | 2018-05-22 |
| Find all providers in zip 20852 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153427 | Rxwellness Spine & Health - Rockville LLC | Chiropractor | 15001 Shady Grove Rd Ste 140, Rockville, MD 20850-6354 | 2020-10-29 |
| 1932710597 | Hbc Chiropractic, P. C. | Chiropractor | 11921 Rockville Pike Ste 411, Rockville, MD 20852-2757 | 2020-08-16 |
| 1538792148 | Eaman Physical Therapy, LLC | Chiropractor | 15215 Shady Grove Rd Ste 202, Rockville, MD 20850-6207 | 2020-02-21 |
| 1639642226 | Dillon D Balkin | Chiropractor | 110 N Washington St Ste 207, Rockville, MD 20850-2225 | 2019-01-07 |
| 1760986780 | Georgetown Chiropractic and Rehabilitation | Chiropractor | 40 W Gude Dr Ste 240, Rockville, MD 20850-1152 | 2018-03-23 |
| 1689181539 | Roson Bhupen Ray | Chiropractor | 451 Hungerford Dr Ste 510, Rockville, MD 20850-5103 | 2018-01-01 |
| 1376907527 | Dale Samuel Ward | Chiropractor | 4400 Chestnut Ln, Rockville, MD 20853-1401 | 2016-04-13 |
| 1447624192 | Injury Care Centers Inc | Chiropractor | 9600 Traville Gateway Drive Suite 104, Rockville, MD 20850 | 2015-11-18 |
| 1740656669 | Michael Kebede | Chiropractor | 11125 Rockville Pike Ste 107, Rockville, MD 20852-3142 | 2015-08-14 |
| 1568851301 | Gyc LLC | Chiropractor | 70 Upper Rock Cir, Unit W101, Rockville, MD 20850-4239 | 2015-01-16 |
| Find all providers in ROCKVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.