NPI Code Detail JSON Logo

1003443359 NPI number — HENRY A MCCLEARY DC LLC

NPI Number: 1003443359
Health Care Provider/Practitioner: HENRY A MCCLEARY DC LLC

Information about “1003443359” NPI (HENRY A MCCLEARY DC LLC) exists in 1003443359 in HTML format HTML  |  1003443359 in plain Text format TXT  |  1003443359 in PDF (Portable Document Format) PDF  |  1003443359 in an XML format XML  formats.

NPI Number : 1003443359 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003443359",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HENRY A MCCLEARY DC LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2241C TACKETTS MILL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WOODBRIDGE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22192-3028",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-463-4644",
    "MailingAddressFaxNumber": "855-552-3776",
    "FirstLinePracticeLocationAddress": "2241C TACKETTS MILL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WOODBRIDGE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22192-3028",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-463-4644",
    "PracticeLocationAddressFaxNumber": "855-552-3776",
    "EnumerationDate": "03/26/2020",
    "LastUpdateDate": "05/18/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MCCLEARY",
    "AuthorizedOfficialFirstName": "HENRY",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DC",
    "AuthorizedOfficialTelephoneNumber": "703-463-4644",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QH0100X",
          "TaxonomyName": "Health Service Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QP3300X",
          "TaxonomyName": "Pain Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM1300X",
          "TaxonomyName": "Multi-Specialty Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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