Mankooei Chiropractic Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104555961 Issued in VA

Legal business name

MANKOOEI CHIROPRACTIC CENTER, INC

Practice address

6800 Backlick Rd
Suite 100
Springfield, VA 22150-3070

Phone

(703) 644-5900

Fax

(703) 644-5902

NPI assigned

Jun 9, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Marcela Ayala

Title

Manager

Phone

(703) 644-5900

Specialties & licenses 1

Addresses

Other names 1

• Commerce Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mankooei Chiropractic Center 2, LLC

  • Clinic/Center
  • Woodbridge, VA
  • NPI 1720212103
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shayda Mankooei, D.C.

  • Chiropractor
  • Springfield, VA
  • NPI 1568495661

  DC

  Medicare reassignment

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1164835922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 BACKLICK RD",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503070",
            "telephone_number": "703-644-5900",
            "fax_number": "703-644-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 BACKLICK RD",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503070",
            "telephone_number": "703-644-5900",
            "fax_number": "703-644-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANKOOEI CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "MARCELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-644-5900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commerce Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyson Marie Maldonado, M.A. CCC-SLP
• Gabriel Maldonado, RBT
• Sina Malekuti, DDS
• Joycelyn Divine Malosa, RBT
• Ashley Maloy
• Shayda Mankooei, D.C.
• Michelle Lauren Mannella, BCBA, LBA
• Mark a. Winkler, DDS & Neil H. Charaipotra, DDS, PC
• Mark D. Livaditis, O.D.
• Bruce William Markoff, DDS

• Chiropractor in Springfield, VA
• Providers in Springfield, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.