Jacqueline Merced Gonzalez, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557196 Issued in VA

Practice address

9028 Prince William St Ste 2a
Manassas, VA 20110-5664

Phone

(703) 334-8597

NPI assigned

Dec 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Balanced Life Chiropractic LLC

  • Primary Care Clinic/Center
  • Manassas, VA
  • NPI 1821567652
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1386041614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9028 PRINCE WILLIAM ST STE 2A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105664",
            "telephone_number": "703-334-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9028 PRINCE WILLIAM ST STE 2A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105664",
            "telephone_number": "703-334-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCED GONZALEZ",
        "first_name": "JACQUELINE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virgil Jeremiah Melvin, M.D.
• Andres Menacho
• Kevin C Mendes, D.D.S
• Christine Joy Mendiola
• Ruth Obuobi Mensah, PHARMD
• Vonda Merrill
• Metropolitan Health Services
• Emma Metzler, CF-SLP
• Claudine G Meyer
• Youmbi Marthe Meyeunou, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.