JESUS MANUEL DIAZ JR. (NPI# 1821352196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821352196 |
| Entity Type | Individual |
| Full Name | JESUS MANUEL DIAZ JR. |
| Credential | D.C. |
| Practice Address |
9408 Grant Ave Suite 202 Manassas VA 20110-5511 |
| Practice Telephone | 7033692559 |
| Practice Fax Number | 7033692733 |
| Mailing Telephone | 7033692559 |
| Mailing Fax Number | 7033692733 |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2012-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 0105473 | KS | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 0104556989 | VA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477889244 | Jesus Mario Diaz Jr. | Health Educator | 3320 Sw 97th Ct, Miami, FL 33165-3057 | 2009-10-28 |
| 1669519898 | Jesus Mario Diaz | Hearing Instrument Specialist | 8870 Sw 40th St, Suite #7, Miami, FL 33165-5465 | 2007-01-30 |
| 1730666413 | Jesus Esteban Diaz | Licensed Vocational Nurse | 2102 W Teege Ave, Harlingen, TX 78550-4667 | 2018-07-25 |
| 1497122022 | Jesus Edgardo Diaz | Spec/Tech, Pathology | 1150 45th St, Room L-200, West Palm Beach, FL 33407-2361 | 2015-08-31 |
| 1750524443 | Jesus Diaz | Anesthesiology | 2411 Holmes St, Umkc School of Medicine Residency Program, M1-210, Kansas City, MO 64108-2741 | 2009-04-12 |
| 1518164862 | Jesus Rafael Diaz | Radiology | 4815 Alameda Ave, El Paso, TX 79905-2705 | 2007-06-29 |
| 1245435551 | Jesus Diaz | Counselor | 130 W Victoria St, Gardena, CA 90248-3523 | 2007-06-18 |
| 1740496892 | Jesus Antonio Diaz | Dentist | 7000 W 12th Ave, Suite 6, Hialeah, FL 33014-5154 | 2007-05-15 |
| 1306885926 | Jesus Victoriano Diaz | Nurse Anesthetist, Certified Registered | 1400 Nw 12th Ave, Anesthesia Department, Miami, FL 33136-1003 | 2006-06-06 |
| 1326009515 | Jesus Antonio Diaz | Internal Medicine | 4203 Belfort Rd Ste 345, Jacksonville, FL 32216-1469 | 2006-03-29 |
| Street Address |
9408 GRANT AVE SUITE 202 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-5511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114282621 | Momentum Chiropractic and Rehab, LLC | Chiropractor | 9408 Grant Ave, Suite 202, Manassas, VA 20110-5511 | 2012-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386041614 | Jacqueline Merced Gonzalez | Chiropractor | 9028 Prince William St Ste 2a, Manassas, VA 20110-5664 | 2014-12-02 |
| 1881948974 | Hugh Marshall Bennett I | Chiropractor | 8735 Plantation Ln, Manassas, VA 20110-4506 | 2012-10-29 |
| 1023385630 | Celeste Ann Orwat | Chiropractor | 10633 Crestwood Drive, Manassas, VA 20109 | 2011-11-28 |
| 1861779746 | Kyle Steven Bloch | Chiropractor | 8424 Dorsey Cir Ste 102, Manassas, VA 20110-8301 | 2011-11-07 |
| 1306160536 | Manassas Chiropractic Neurology Center, Inc | Chiropractor | 9840 Liberia Ave, Manassas, VA 20110-5836 | 2010-03-17 |
| 1285968289 | Keyvan Shahverdi | Chiropractor | 8420 Dorsey Cir Ste 101, Manassas, VA 20110-8300 | 2009-09-23 |
| 1538391750 | Peter Taejoo Jeong | Chiropractor | 7960 Donegan Dr Ste 233, Manassas, VA 20109-8236 | 2009-08-20 |
| 1710168737 | Jeffrey Madison James | Chiropractor | 9151 Key Commons Ct, Manassas, VA 20110-5300 | 2007-11-19 |
| 1033230909 | Stress Relief Chiropractic Center | Chiropractor | 10684 Crestwood Dr Ste A, Manassas, VA 20109-4400 | 2007-04-02 |
| 1134268774 | Joseph Patrick Mikluscak Jr. | Chiropractor | 10055 Wellington Rd, Manassas, VA 20110-7805 | 2007-02-06 |
| Find all providers in MANASSAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.