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KING CHIROPRACTIC OF URBANA
NPI 1366620106
Chiropractor in Ijamsville, MD

Active since February 04, 2008
3280 URBANA PIKE, SUITE 206, IJAMSVILLE, MD 21754(301) 874-9002(301) 874-8511 Get Directions Write a Review

NPPES record last updated: February 4, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About King Chiropractic Of Urbana NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KING CHIROPRACTIC OF URBANA (NPI 1366620106) is a healthcare organization registered as a chiropractor in Ijamsville, Maryland and active in the NPI registry since February 2008. The organization lists Kelly Chad Groves, Director, as its authorized official.

NPPES Registry Identity

NPI1366620106
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKING CHIROPRACTIC OF URBANA
Location Address3280 URBANA PIKE, SUITE 206Ijamsville, MD 21754-9406
Mailing Address3280 Urbana Pike, Suite 206Ijamsville, MD 21754-9406 · (301) 874-9002 · Fax (301) 874-8511
Phone(301) 874-9002
Fax(301) 874-8511
Organization SubpartNo
Authorized OfficialKelly Chad GrovesDirector · (301) 874-9002
Enumeration DateFebruary 4, 2008
✔ NPI 1366620106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MD · S2016
Definition
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.
3280 URBANA PIKE, Ijamsville, MD 21754
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

King Chiropractic Of Urbana is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMarylandEnrollment IDO20120802000085Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to King Chiropractic Of Urbana, which bills Medicare for the services this clinician delivers.

Clinician (1)

Larry King, DC
Chiropractic
NPI 1356413686
19392 MONTGOMERY VILLAGE AVE. SUITE A
Gaithersburg, MD 20886
(301) 926-5200
12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is King Chiropractic Of Urbana's NPI number?

The NPI number for King Chiropractic Of Urbana is 1366620106. It was assigned to this organization in the NPPES registry on February 4, 2008.

Where is King Chiropractic Of Urbana located?

King Chiropractic Of Urbana is located at 3280 Urbana Pike Suite 206, Ijamsville, MD 21754. The listed phone number is (301) 874-9002.

What is King Chiropractic Of Urbana's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is King Chiropractic Of Urbana enrolled in Medicare?

Yes. King Chiropractic Of Urbana is registered in the Medicare PECOS enrollment system.

When is King Chiropractic Of Urbana's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maryland, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through King Chiropractic Of Urbana?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to King Chiropractic Of Urbana. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for King Chiropractic Of Urbana was last updated on February 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.