Active NPI
Wired Neuro Care, LLC
- Mobile Radiology Clinic/Center
- Henrico, VA
National Provider Identifier
1265103766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- 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, 2021
- 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
- Briann Maxwell
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Technician/Technologist
- Henrico, VA
- NPI 1154097632
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.