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MASTERPEACE CHIROPRACTIC CENTER, P.C.
NPI 1700079092
Chiropractor in Lake Ridge, VA

Active since August 21, 2007
3302 OLD BRIDGE RD, SUITE GH, LAKE RIDGE, VA 22192(703) 490-4242(703) 491-6370 Get Directions Write a Review

NPPES record last updated: August 21, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Masterpeace Chiropractic Center, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MASTERPEACE CHIROPRACTIC CENTER, P.C. (NPI 1700079092) is a healthcare organization registered as a chiropractor in Lake Ridge, Virginia and active in the NPI registry since August 2007. The organization lists Gerard J Mannino, President, as its authorized official.

NPPES Registry Identity

NPI1700079092
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMASTERPEACE CHIROPRACTIC CENTER, P.C.
Location Address3302 OLD BRIDGE RD, SUITE GHLake Ridge, VA 22192-5262
Mailing Address3302 Old Bridge Rd, Suite GhLake Ridge, VA 22192-5262 · (703) 490-4242 · Fax (703) 491-6370
Phone(703) 490-4242
Fax(703) 491-6370
Organization SubpartNo
Authorized OfficialGerard J ManninoPresident · (703) 490-4242
Enumeration DateAugust 21, 2007
✔ NPI 1700079092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104000675
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3302 OLD BRIDGE RD, Lake Ridge, VA 22192
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Other Identifiers 1

Medicare UPINT21935VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GERARD JOSEPH MANNINO D.C.
Chiropractor
3302 OLD BRIDGE RD, SUITE GH
WOODBRIDGE, VA 22192
Prince William County (703) 490-4242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Masterpeace Chiropractic Center, P.C.'s NPI number?

The NPI number for Masterpeace Chiropractic Center, P.C. is 1700079092. It was assigned to this organization in the NPPES registry on August 21, 2007.

Where is Masterpeace Chiropractic Center, P.C. located?

Masterpeace Chiropractic Center, P.C. is located at 3302 Old Bridge Rd Suite Gh, Lake Ridge, VA 22192. The listed phone number is (703) 490-4242.

What is Masterpeace Chiropractic Center, P.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Masterpeace Chiropractic Center, P.C. was last updated on August 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.