Organization Active NPI

Henry a McCleary DC LLC

  • Multi-Specialty Clinic/Center
  • Woodbridge, VA
National Provider Identifier
1003443359
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HENRY A MCCLEARY DC LLC
Practice address
2241C Tacketts Mill Dr
Woodbridge, VA 22192-3028
Phone
(703) 463-4644
Fax
(855) 552-3776
NPI assigned
Mar 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Henry A McCleary, DC
Title
Owner
Phone
(703) 463-4644

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Multi-Specialty Clinic/Center 261QM1300X Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

2241C Tacketts Mill Dr
Woodbridge, VA 22192-3028

Mailing address

2241C Tacketts Mill Dr
Woodbridge, VA 22192-3028
Phone (703) 463-4644

Other names 1

  • Dr Macs Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

2239C Tacketts Mill Dr
Woodbridge, VA 22192

2239C Tacketts Mill Dr
Ste 200
Woodbridge, VA 22192
Phone (703) 463-4644

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1003443359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241C TACKETTS MILL DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221923028",
            "telephone_number": "703-463-4644",
            "fax_number": "855-552-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241C TACKETTS MILL DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221923028",
            "telephone_number": "703-463-4644",
            "fax_number": "855-552-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY A MCCLEARY DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "MCCLEARY",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-463-4644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Macs Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr Macs Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.