Manassas Foot Clinic Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0103001009 Issued in VA

Legal business name

MANASSAS FOOT CLINIC INC

Practice address

8704 Rolling Rd
Manassas, VA 20110-4253

Phone

(703) 361-3132

Fax

(703) 368-0291

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo M. Bennett, D.P.M.

Title

President

Phone

(703) 361-3132

Specialties & licenses 2

Addresses

Other identifiers 4

Practitioners 2

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

• Ton Q. Ho, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Falls Church, VA
  • NPI 1295179182
  NPD
• Aman Fatima, D.P.M

  • Podiatrist
  • Long Island City, NY
  • NPI 1336673565
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1578637633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8704 ROLLING RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104253",
            "telephone_number": "703-361-3132",
            "fax_number": "703-368-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8704 ROLLING RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104253",
            "telephone_number": "703-361-3132",
            "fax_number": "703-368-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANASSAS FOOT CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-361-3132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103001009",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103000268",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "7134",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "035461",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009300627",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "21906",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manassas Chiropractic Neurology Center, Inc
• Manassas Dental and Cosmetics DMD PLLC
• Manassas Dental Associates, PC
• Manassas Dental Care LLC
• Manassas Family Medicine PLC
• Manassas Foot Clinic PLLC
• Manassas Hands-on Physical Therapy and Sports Medicine Inc
• Manassas Health Care LLC
• Manassas Heart Center LLC
• Manassas Internal Medicine PC

• Foot & Ankle Surgery Podiatrist in Manassas, VA
• Providers in Manassas, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.