DR. DIANE L TABER (NPI# 1154322626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154322626 |
| Entity Type | Individual |
| Full Name | DR. DIANE L TABER |
| Credential | D.C. |
| Practice Address |
14300 Gallant Fox Ln Suite 201 Bowie MD 20715-4003 |
| Practice Telephone | 3013524500 |
| Mailing Telephone | 3013524500 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2010-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | S01944 | MD | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BCBS OF MD | LR25TA | 01 |
| DC | CAREFIRST BC/BS | S2410001 | 01 |
| FEDERAL TAX ID | 522247005 | 01 | |
| MD | MAMSI ID | 287091 | 01 |
| MD | CAREFIRST MD REGION # | 60608803 | 01 |
| Street Address |
14300 GALLANT FOX LN SUITE 201 |
| City | BOWIE |
| State | MD |
| Zip Code | 20715-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154322659 | Theodore W Taber | Chiropractor | 14300 Gallant Fox Ln, Suite 201, Bowie, MD 20715-4003 | 2005-08-09 |
| 1598318545 | Bonita Mannings | Counselor | 14300 Gallant Fox Ln, Bowie, MD 20715-4003 | 2019-07-18 |
| 1740796945 | Tierra Shanel Thomas | Nurse Practitioner | 14300 Gallant Fox Ln, Bowie, MD 20715-4003 | 2017-12-26 |
| 1821532813 | Neuroscience Associates of Bowie | Clinical Neuropsychologist | 14300 Gallant Fox Ln, 107, Bowie, MD 20715-4003 | 2016-12-09 |
| 1285082644 | Trinity Dental Care, LLC | Dentist | 14300 Gallant Fox Ln, Suite 111, Bowie, MD 20715-4003 | 2016-05-26 |
| 1285094094 | Love Kids LLC | Pediatrics | 14300 Gallant Fox Ln, 203, Bowie, MD 20715-4003 | 2016-03-07 |
| 1417322926 | Shannon Nicole Martin | Nurse Practitioner | 14300 Gallant Fox Ln, Suite 216, Bowie, MD 20715-4003 | 2015-12-09 |
| 1134598394 | Phs Multispecialty Services | Surgery | 14300 Gallant Fox Ln, Suite 224, Bowie, MD 20715-4003 | 2015-09-17 |
| 1780078436 | Utopia Health Services Group Inc. | Counselor | 14300 Gallant Fox Ln, Suite 213, Bowie, MD 20715-4003 | 2015-03-19 |
| 1083018832 | Marsha Ross | Social Worker | 14300 Gallant Fox Ln, Suite 216, Bowie, MD 20715-4003 | 2014-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304757 | Aynia V Dorsey | Occupational Therapist | 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 | 2018-08-04 |
| 1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
| 1861918435 | Ryan Leigh Brown | Psychologist | 3231 Superior Lane, Suite, A6, Bowie, MD 20715 | 2017-08-16 |
| 1073060430 | Chinwendu Ezeoru | Nurse Practitioner | 13004 Viewpoint Ln, Bowie, MD 20715 | 2016-09-02 |
| 1386094977 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 15501 Annapolis Rd, Suite 400, Bowie, MD 20715 | 2016-06-15 |
| 1083003164 | Megan Elizabeth Cooper | Social Worker | 2812 Bosworth Ln, Bowie, MD 20715 | 2015-01-13 |
| 1467856740 | Nathan-todd Consulting | Community/Behavioral Health | 3231 Superior Court Lane,# A5, Bowie, MD 20715 | 2014-10-15 |
| 1841534468 | Varsity Professional Rehabilitation and Staffing, LLC | Physical Therapist | 14000 Jericho Park Road, Bowie, MD 20715 | 2012-11-20 |
| 1013269893 | Felix Chukwudi Ohams | Registered Nurse | 7613 Old Chapel Dr, Bowie, MD 20715 | 2012-10-04 |
| 1720336464 | Tara Marie Hatfield | Physical Therapist | 100 Whitemarsh Park Drive, Bowie, MD 20715 | 2012-08-28 |
| Find all providers in zip 20715 | ||||
| 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 |
|---|---|---|---|---|
| 1437625159 | Allcare of Bowie, Inc | Chiropractor | 4345 Northview Dr, Bowie, MD 20716-2602 | 2018-10-19 |
| 1841785573 | Robert John Bhagan | Chiropractor | 14547 London Ln, Bowie, MD 20715-2579 | 2018-06-25 |
| 1609801042 | Patrick Jacque Graux | Chiropractor | 4365 Northview Dr, Bowie, MD 20716-2603 | 2006-07-12 |
| 1649268392 | Kellie Jill Timberlake-lancaster | Chiropractor | 207 Walnut St, Bowie, TX 76230-4840 | 2005-10-07 |
| 1154322659 | Theodore W Taber | Chiropractor | 14300 Gallant Fox Ln, Suite 201, Bowie, MD 20715-4003 | 2005-08-09 |
| 1558993857 | Samantha Marie Devizio | Chiropractor | 4345 Northview Dr, Bowie, MD 20716-2602 | 2020-02-05 |
| 1275075160 | Metro Area Chiropractic & Rehab | Chiropractor | 2905 Mitchellville Rd, Suite 116, Bowie, MD 20716-1385 | 2016-11-09 |
| 1881977577 | Rosalind Renee Bailey-odeyale | Chiropractor | 3327 Superior Ln, Suite 204, Bowie, MD 20715-1922 | 2011-09-20 |
| 1043514383 | Paradox Healthcare Systems Pllc | Chiropractor | 207 Walnut St, Bowie, TX 76230-4840 | 2010-12-30 |
| 1194976902 | Applied Chiropractic Associates, LLC | Chiropractor | 6911 Laurel Bowie Rd, Suite 212, Bowie, MD 20715-1712 | 2008-10-10 |
| Find all providers in BOWIE | ||||
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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.