Dr. Richard C Fidanza, D.C.
Chiropractor in Edgewater, MD. Individual provider (NPI-1).
NPI number1992857015
StatusActive
Last updated in NPPESOct 20, 2010
Details
- NPI
- 1992857015
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard C Fidanza
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 17, 2007
- Last updated
- Oct 20, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 01291 | MD | Yes |
Practice location
2770 Solomons Island RdEdgewater, MD 21037-1211
Phone 410-266-9000 · Fax 410-266-9058
Mailing address
2770 Solomons Island RdEdgewater, MD 21037-1211
Phone 410-266-9000 · Fax 410-266-9058
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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- Emily M Frieman Dc PANPI 1548196215
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All 9 Chiropractor providers in Edgewater · All 348 providers in Edgewater
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