MANASSAS FOOT CLINIC PLLC
NPI 1184050650
Podiatrist - Foot & Ankle Surgery in Manassas, VA

Active since September 17, 2013
8704 ROLLING RD, MANASSAS, VA 20110(703) 361-3132(703) 368-0291 Get Directions Write a Review

NPPES record last updated: September 17, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About MANASSAS FOOT CLINIC PLLC

This page provides the complete NPI Profile along with additional information for Manassas Foot Clinic Pllc, a provider established in Manassas, Virginia operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1184050650 assigned on September 2013. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Ricardo M Bennett Dpm (President)

NPI
1184050650 Verify this NPI
Provider Name
MANASSAS FOOT CLINIC PLLC
Entity Type
Organization
Location Address
8704 ROLLING RD MANASSAS, VA 20110
Location Phone
(703) 361-3132
Location Fax
(703) 368-0291
Mailing Address
8704 ROLLING RD MANASSAS, VA 20110
Mailing Phone
(703) 361-3132
Mailing Fax
(703) 368-0291
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-17-2013
Last Update Date
09-17-2013
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1213EP1101XPodiatric Medicine & Surgery Service Providers

Podiatrist
Primary Podiatric Medicine

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RICARDO M BENNETT DPM

Authorized Official Title
PRESIDENT
Authorized Official Phone
(703) 361-3132

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Podiatrist
8704 ROLLING RD
MANASSAS, VA 20110
Podiatrist (Foot & Ankle Surgery)
8704 ROLLING RD
MANASSAS, VA 20110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184050650, enumerated as an "organization" on September 17, 2013.

The provider is located at 8704 ROLLING RD MANASSAS, VA 20110 and the phone number is (703) 361-3132.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.