Active NPI
Back and Neck Care Centers of DRS Friday & Manganelli
- Chiropractor
- Severna Park, MD
National Provider Identifier
1811050784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1347
- 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, DC
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1347 | MD | Primary |
| Chiropractor | 111N00000X | 1335PT | MD |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| E492 | Other | MD | BCBS |
| W3780002 | Other | MD | BCBS FED |
| E491 | Other | MD | BCBS |
| W3780001 | Other | MD | BCBS FED |
Other names 1
NPPES NPI Registry- The Back & Neck Care Center
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.