GAITHERSBURG WELLNESS CENTER
NPI 1750802831
Chiropractor in Gaithersburg, MD

Active since June 29, 2017
101 LAKEFOREST BLVD STE 395, GAITHERSBURG, MD 20877(919) 402-7551 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 15, 2021, Jun 29, 2017 (2 updates tracked since 2017).

About Gaithersburg Wellness Center NPPES

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

GAITHERSBURG WELLNESS CENTER (NPI 1750802831) is a healthcare organization registered as a chiropractor in Gaithersburg, Maryland and active in the NPI registry since June 2017. The organization lists Sangbum Joo, President, as its authorized official.

NPPES Registry Identity

NPI1750802831
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGAITHERSBURG WELLNESS CENTER
Location Address101 LAKEFOREST BLVD STE 395Gaithersburg, MD 20877-2611
Mailing Address101 Lakeforest Blvd Ste 395Gaithersburg, MD 20877-2746 · (301) 200-8060
Organization SubpartNo
Authorized OfficialSangbum JooPresident · (301) 569-0380
Enumeration DateJune 29, 2017
Last NPPES UpdateDecember 15, 20212 updates tracked since enumeration
NPPES CertifiedDecember 15, 2021
✔ NPI 1750802831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in MD · S03901✔ Licensed in DC · CH030129✔ Licensed in NC · 4338
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.
101 LAKEFOREST BLVD STE 395, Gaithersburg, MD 20877

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gaithersburg Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gaithersburg Wellness Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1336480888
101 LAKEFOREST BLVD STE 395
Gaithersburg, MD 20877
(919) 402-7551
✔ Accepts MedicareSame address

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 Gaithersburg Wellness Center's NPI number?

The NPI number for Gaithersburg Wellness Center is 1750802831. It was assigned to this organization in the NPPES registry on June 29, 2017.

Where is Gaithersburg Wellness Center located?

Gaithersburg Wellness Center is located at 101 Lakeforest Blvd Ste 395, Gaithersburg, MD 20877. The listed phone number is (919) 402-7551.

What is Gaithersburg Wellness Center's specialty?

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

Is Gaithersburg Wellness Center enrolled in Medicare?

Yes. Gaithersburg Wellness Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gaithersburg Wellness Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Gaithersburg Wellness Center. 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 Gaithersburg Wellness Center was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.