Organization Active NPI

Mangano Chiropractic and Wellness Center, LTD

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1972664654
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001485 Issued in VA
Legal business name
MANGANO CHIROPRACTIC AND WELLNESS CENTER, LTD
Practice address
6477 College Park SQ
Suite 216
Virginia Beach, VA 23464-3611
Phone
(757) 313-2355
Fax
(757) 313-2357
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Trisha Lynn Mangano, D.C.NPI 1447203534
Title
Owner
Phone
(757) 313-2355

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104001485 VA Primary

Addresses

Primary practice location

6477 College Park SQ
Suite 216
Virginia Beach, VA 23464-3611

Mailing address

6477 College Park SQ
Suite 216
Virginia Beach, VA 23464-3611
Phone (757) 313-2355

Other identifiers 1

IdentifierTypeStateIssuer
259240OtherVAANTHEM BCBS

National Provider Directory

National Provider Directory

Locations

6477 College Park Sq
Ste 216
Virginia Beach, VA 23464
Phone (757) 313-2355

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972664654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6477 COLLEGE PARK SQ",
            "address_2": "SUITE 216",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643611",
            "telephone_number": "757-313-2355",
            "fax_number": "757-313-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6477 COLLEGE PARK SQ",
            "address_2": "SUITE 216",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643611",
            "telephone_number": "757-313-2355",
            "fax_number": "757-313-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGANO CHIROPRACTIC AND WELLNESS CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANGANO",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-313-2355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "259240",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.