Provider Demographics
NPI:1598808719
Name:DR ALAN D. CORNFIELD SILVER SPRING CHIROPRACTIC PA
Entity Type:Organization
Organization Name:DR ALAN D. CORNFIELD SILVER SPRING CHIROPRACTIC PA
Other - Org Name:SMART MEDICAL AND REHAB THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:CORNFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-585-2225
Mailing Address - Street 1:2730 UNIVERSITY BLVD W STE 500
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20902-1975
Mailing Address - Country:US
Mailing Address - Phone:301-585-2225
Mailing Address - Fax:301-929-0245
Practice Address - Street 1:2730 UNIVERSITY BLVD W STE 500
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-1975
Practice Address - Country:US
Practice Address - Phone:301-585-2225
Practice Address - Fax:301-929-0245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01370111NN0400X, 111NX0800X
MDD0046195111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty
No111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC22351OtherGW HEALTH PLAN
MD32824OtherMAMSI HEALTH PLAN
MDCOR001OtherMANAGED CHIROPRACTIC CARE
DC222945900OtherDEPT OF LABOR
MD000380039001OtherUNITED HEALTH CARE
MD4369843OtherAETNA
MD200056OtherACN KAISER OF MIDATLANTIC
MD40026801OtherBC BS OF MD
MD000380039001OtherUNITED HEALTH CARE