Manassas Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556165 Issued in VA

Legal business name

MANASSAS WELLNESS CENTER

Practice address

8735 Plantation LN
Manassas, VA 20110-4506

Phone

(571) 359-6285

Fax

(571) 359-6286

NPI assigned

Jun 30, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Neema Randall, D.C.

Title

Owner

Phone

(571) 359-6285

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1497106496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8735 PLANTATION LN",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104506",
            "telephone_number": "571-359-6285",
            "fax_number": "571-359-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8735 PLANTATION LN",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104506",
            "telephone_number": "571-359-6285",
            "fax_number": "571-359-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANASSAS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "NEEMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-359-6285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1972522928",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manassas Pediatrics LTD
• Manassas Pharmacy
• Manassas Primary Care, LLC
• Manassas Spine & Sport PC
• Manassas Surgery Center Anesthesia Services, LLC
• Veena Rao Mandal, MBBS
• Anup Kang Manes, ANP
• Amber C Maney, BCBA
• Cathy Elaine Mangan
• Nina Manganaris, LCSW

• 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 Jul 20, 2016; 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.