Manassas Spine & Sport PC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

0104001121 Issued in VA

Legal business name

MANASSAS SPINE & SPORT PC

Practice address

9210 Lee Ave
Manassas, VA 20110-5513

Phone

(703) 368-8800

Fax

(703) 368-1281

NPI assigned

Aug 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Dennis P Ohara, DC

Title

President

Phone

(703) 368-8800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1609182088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 LEE AVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105513",
            "telephone_number": "703-368-8800",
            "fax_number": "703-368-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 LEE AVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105513",
            "telephone_number": "703-368-8800",
            "fax_number": "703-368-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANASSAS SPINE & SPORT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "OHARA",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-368-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104001121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manassas Neurology LLC
• Manassas Optometry, LLC (My Eye Dr.)
• Manassas Pediatrics LTD
• Manassas Pharmacy
• Manassas Primary Care, LLC
• Manassas Surgery Center Anesthesia Services, LLC
• Manassas Wellness Center
• Veena Rao Mandal, MBBS
• Anup Kang Manes, ANP
• Amber C Maney, BCBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.