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Export Provider Record NPI 1366960593
Cheverly Primary Care, Inc.
Organization Subpart: NO
Active
NPI Number1366960593
NPI TypeNPI-2 Organization
SpecialtyClinic/Center, Primary Care
Provider Details
NPI1366960593
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2017-09-08
Last Updated2018-06-16
Authorized OfficialSharon Anderson
President
Phone: 3019195316
Mailing Address6490 Landover Rd Ste G
Cheverly, MD 20785-1443
United States
Phone: (301) 322-8000 | Fax: (301) 322-1757
📍 View Map
Primary Practice Address6490 Landover Rd Ste G
Cheverly, MD 20785
United States
Phone: (301) 322-8000 | Fax: (301) 322-1757
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)-0none
Other (non-Medicare)-nonenone
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes261QP2300X – Clinic/Center, Primary CareMDR135181
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About NPI 1366960593

Cheverly Primary Care, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1366960593. The primary specialty listed is Clinic/Center, Primary Care. The organization is located in Cheverly, MD. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-09-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1366960593?

NPI 1366960593 belongs to Cheverly Primary Care, Inc., a Clinic/Center, Primary Care in Cheverly, MD. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1366960593 active?

The current status of NPI 1366960593 in the NPPES registry is Active. The record was last updated on 2018-06-16.

What specialty is NPI 1366960593?

NPI 1366960593 is classified under the taxonomy Clinic/Center, Primary Care. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1366960593?

You can verify NPI 1366960593 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1366960593?

The primary practice address on file for NPI 1366960593 is 6490 Landover Rd Ste G, Cheverly, MD 20785. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1366960593 issued?

NPI 1366960593 was first issued (enumerated) on 2017-09-08. The NPPES record was last updated on 2018-06-16.

Practice Location Map

Cheverly Primary Care, Inc. is located at 6490 Landover Rd Ste G, Cheverly, MD. Use the map below to find directions or verify the practice location.

📍 6490 Landover Rd Ste G, Cheverly, MD 20785  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Cheverly Primary Care, Inc.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1366960593. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Clinic/Center, Primary CareR135181MD
Data Verified from CMS NPPES Last synced: 2026-08-18 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162