Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1811421498 Deactivated / Inactive NPI Female Practitioner

Dr. Amanda Thacker , DC

Chiropractor • Glen Burnie, MD

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Amanda Thacker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 20, 2017
NPI Deactivation Date April 14, 2020
Total Practice Duration ~3 Years of Practice (2017 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Amanda Thacker, DC was a registered Chiropractor practicing in Glen Burnie, MD. Throughout an active medical career spanning 3 years, Dr. Thacker provided care at the practice location at 331 OAK MANOR DR until profile deactivation on 2020-04-14.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

331 Oak Manor Dr
Suite 101

Glen Burnie, MD 210615548

Telephone 4107664878
Fax 4107666619
Associated Practice Facility / Clinic
🏢 Charles W Davis Ii Md Llc Facility NPI 1164652970

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Glen Burnie, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.4 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
27 Specialists

Practicing in Glen Burnie, MD (905 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
31.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
99 27 $57.00 $39.32

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MD 03916

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1144272873

Doctor of Chiropractic

NPI 1225577729

Doctor of Chiropractic

Dr. Kevin Vieser , DC, ATC, CCSP

Chiropractor - Sports Physician

NPI 1649783994

Doctor of Chiropractic, Certified Athletic Trainer, CCSP

NPI 1861258865

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated April 14, 2020

Record deactivated on April 14, 2020

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Updated Practice Location October 22, 2018

Registered at N 5241 US HWY 45, WATERSMEET, MI 49969 (Tel: 9063584588)

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Updated Business Mailing Address October 22, 2018

Registered at N 5241 US HWY 45, WATERSMEET, MI 49969 (Tel: 9063584588)

NPI Profile Active April 20, 2017

NPI status registered as active in NPPES database

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Updated Practice Location April 20, 2017

Registered at 331 OAK MANOR DR, SUITE 101, GLEN BURNIE, MD 210615548 (Tel: 4107664878)

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Updated Business Mailing Address April 20, 2017

Registered at 331 OAK MANOR DR, SUITE 101, GLEN BURNIE, MD 210615548 (Tel: 4107664878)

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Provider Name / Credentials Updated April 20, 2017

Recorded as AMANDA THACKER, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2017

Chiropractor (License #03916 in MD)

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Initial NPI Registration & Enumeration April 20, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811421498
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2017
Last Update: April 20, 2017
Deactivation Date: April 14, 2020

Mailing Address

331 Oak Manor Dr, Suite 101

Glen Burnie, MD 210615548

Phone: 4107664878

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.