Organization Active NPI

Back and Neck Care Centers of DRS Friday & Manganelli

  • Chiropractor
  • Severna Park, MD
National Provider Identifier
1811050784
Registry record updated Apr 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1347 Issued in MD
Legal business name
BACK AND NECK CARE CENTERS OF DRS FRIDAY & MANGANELLI
Practice address
7 Robinson Rd
Severna Park, MD 21146-2829
Phone
(410) 544-7074
Fax
(410) 544-3983
NPI assigned
Dec 19, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Janet E Friday, DCNPI 1598949406
Title
Vice President
Phone
(410) 544-7074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101209000131 MD Part B Supplier - Clinic/Group Practice 0547457186 Receives reassigned benefits from 2 practitioners
Practice locations: Severna Park, MD

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1347 MD Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1335PT MD

Addresses

NPPES NPI Registry

Primary practice location

7 Robinson Rd
Severna Park, MD 21146-2829

Mailing address

7 Robinson Rd
Severna Park, MD 21146-2829
Phone (410) 544-7074

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
E492OtherMDBCBS
W3780002OtherMDBCBS FED
E491OtherMDBCBS
W3780001OtherMDBCBS FED

Other names 1

NPPES NPI Registry
  • The Back & Neck Care Center Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2013.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366416000000",
    "number": "1811050784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ROBINSON RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462829",
            "telephone_number": "410-544-7074",
            "fax_number": "410-544-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ROBINSON RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462829",
            "telephone_number": "410-544-7074",
            "fax_number": "410-544-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK AND NECK CARE CENTERS OF DRS FRIDAY & MANGANELLI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2013-04-20",
        "status": "A",
        "authorized_official_last_name": "FRIDAY",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-544-7074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "1347",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "1335PT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "E492",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FED",
            "identifier": "W3780002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "E491",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FED",
            "identifier": "W3780001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Back & Neck Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.