DR. NDIDI I HARLEY (NPI# 1093011611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093011611 |
| Entity Type | Individual |
| Full Name | DR. NDIDI I HARLEY |
| Credential | DC |
| Practice Address |
1641 Rt 3 North Suite 203 Crofton MD 21114 |
| Mailing Address |
15309 Littleton Pl Upper Marlboro MD 20774-9053 |
| Practice Telephone | 2026304155 |
| Mailing Telephone | (202) 630-4155 |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2017-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | S03843 | MD | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 0104556821 | VA | Chiropractic Providers |
| N | 111N00000X | Chiropractor | CH030097 | DC | Chiropractic Providers |
| Street Address |
1641 RT 3 NORTH SUITE 203 |
| City | CROFTON |
| State | MD |
| Zip Code | 21114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679097505 | Heal Chiropractic & Wellness | Chiropractor | 1641 Rt 3 North, 203, Crofton, MD 21114 | 2017-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942857156 | Betty J Wanjau | Occupational Therapy Assistant | 2131 Davidsoville Rd, Crofton, MD 21114 | 2019-08-22 |
| 1972067494 | Brightview Crofton, LLC | Alzheimer Center (Dementia Center) | 1301 Clarity Drive, Crofton, MD 21114 | 2019-01-29 |
| 1225522147 | Jodie Rich | Pharmacist | Shoppers, 1649 Crofton Center, Crofton, MD 21114 | 2018-06-15 |
| 1447769054 | Danielle Ellen Barton | Counselor | 1627 Ardsley Place, Crofton, MD 21114 | 2017-09-26 |
| 1093250474 | Holistic, Re-education, & Empowering Serices, LLC | Community/Behavioral Health | 2305 Fairhaven Lane, Crofton, MD 21114 | 2016-12-21 |
| 1326594201 | Evette Shields | Adult Companion | 1617 Parkridge Circle #152, Crofton, MD 21114 | 2016-08-30 |
| 1861866832 | Kathryn Bucher | Occupational Therapist | 2435 Bolton Lane, Crofton, MD 21114 | 2015-11-13 |
| 1730512062 | James Martin Schwartz | Dentist | 1286 Route 3 North, Crofton, MD 21114 | 2013-08-09 |
| 1184923088 | Jean Louise Dela Torre | Speech-Language Pathologist | 1672 Carlyle Dr. Apt. E, Crofton, MD 21114 | 2011-03-18 |
| 1295033488 | Nancy Fox Royster | Registered Nurse | 1004 Broderick Court, Crofton, MD 21114 | 2011-03-11 |
| Find all providers in zip 21114 | ||||
| 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 |
|---|---|---|---|---|
| 1134615099 | Joshua Aaron Horne | Chiropractor | 1302 Cronson Blvd Ste F, Crofton, MD 21114-2064 | 2018-07-03 |
| 1215234513 | Matthew Lee Hecht | Chiropractor | 2110 Priest Bridge Dr Ste 6, Crofton, MD 21114-2472 | 2011-02-22 |
| 1578865168 | Atlantic Pain Center | Chiropractor | 1641 Route 3 N, Crofton, MD 21114 | 2010-12-02 |
| 1528276896 | Brennan Chiropractic, LLC | Chiropractor | 1731 Swinburne Ave, Crofton, MD 21114-2024 | 2007-05-19 |
| 1447371232 | Lief Forrest Hands | Chiropractor | 2191 Defense Hwy 222, Crofton, MD 21114-2942 | 2007-04-02 |
| 1326184128 | The Atlantic Pain Center, LLC | Chiropractor | 1641 State Route 3 N, Suite 205, Crofton, MD 21114-2925 | 2007-01-29 |
| 1326124900 | Thomas K Lo | Chiropractor | 2135 Defense Hwy, Suite 1-3, Crofton, MD 21114-2430 | 2006-10-27 |
| 1386669232 | Cynthia Jenkin | Chiropractor | 2138 Priest Bridge Ct Ste 1, Crofton, MD 21114-2463 | 2006-07-13 |
| 1144274994 | Nicholas Anthony Grande | Chiropractor | 2411 Crofton Ln Ste 14a, Suite 14a, Crofton, MD 21114-1336 | 2006-05-19 |
| 1679097505 | Heal Chiropractic & Wellness | Chiropractor | 1641 Rt 3 North, 203, Crofton, MD 21114 | 2017-08-02 |
| Find all providers in CROFTON | ||||
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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.