NPIMap

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
Last updated
Apr 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2013

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

Authorized official

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.

Specialties & licenses 2

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

Addresses

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 names 1

  • The Back & Neck Care Center Other name

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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": [],
    "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.