Active NPI
Henry a McCleary DC LLC
- Multi-Specialty Clinic/Center
- Woodbridge, VA
National Provider Identifier
1003443359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.