Mankooei Chiropractic Center 2, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

0104555961 Issued in VA

Legal business name

MANKOOEI CHIROPRACTIC CENTER 2, LLC

Doing business as

Commerce Chiropractic Center 2

Practice address

4328 Dale Blvd
Woodbridge, VA 22193-2402

Phone

(703) 730-0707

Fax

(703) 730-0770

NPI assigned

May 13, 2009

Organization subpart

Yes

Parent organization

MANKOOEI CHIROPRACTIC CENTER, INCAs reported in NPPES

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

Authorized official

Name

Shayda Mankooei, DC

Title

Owner/Chiropractor

Phone

(703) 730-0707

Specialties & licenses 1

Addresses

Other names 1

• Commerce Chiropractic Center 2 Doing business as

Part of

Mankooei Chiropractic Center Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mankooei Chiropractic Center, Inc

  dba Commerce Chiropractic Center

  • Chiropractor
  • Springfield, VA
  • NPI 1164835922
  NPPES parent name

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1720212103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4328 DALE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932402",
            "telephone_number": "703-730-0707",
            "fax_number": "703-730-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 DALE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932402",
            "telephone_number": "703-730-0707",
            "fax_number": "703-730-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANKOOEI CHIROPRACTIC CENTER 2, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANKOOEI CHIROPRACTIC CENTER, INC",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "MANKOOEI",
        "authorized_official_first_name": "SHAYDA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "703-730-0707",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0104555961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commerce Chiropractic Center 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sahar Malik, BEHAVIOR ASSISTANT
• Mohammad Omar Malikasghar
• Chad Malone, PT
• Mandad Medical Supplies Inc.
• Jennifer Mangrum
• Jatinder Singh Mann, M.D.
• Tabitha Mann, LCSW
• Gerard Joseph Mannino, D.C.
• Sheila A. Mannion, PTA
• Manolisa T Cornel- Manaloto MD PLC

• Clinic/Center in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.