Organization Active NPI

Wired Neuro Care, LLC

  • Mobile Radiology Clinic/Center
  • Henrico, VA
National Provider Identifier
1265103766
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
WIRED NEURO CARE, LLC
Practice address
2817 Hilliard Rd Apt C
Henrico, VA 23228-4463
Phone
(702) 272-7883
NPI assigned
Sep 23, 2021
Last updated
Sep 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Authorized official

Name
Briann MaxwellNPI 1154097632
Title
Ceo
Phone
(702) 272-7883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

2817 Hilliard Rd Apt C
Henrico, VA 23228-4463

Mailing address

2817 Hilliard Rd Apt C
Henrico, VA 23228-4463

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1265103766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 HILLIARD RD APT C",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232284463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 HILLIARD RD APT C",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232284463",
            "telephone_number": "702-272-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIRED NEURO CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "BRIANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-272-7883"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.