Individual provider Active NPI

James Vincent Virgilio, DC

  • Chiropractor
  • Hallandale, FL
National Provider Identifier
1013341528
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8940 Issued in FL
Practice address
3101 W Hallandale Beach Blvd
Suite 101
Hallandale, FL 33009-5160
Phone
(954) 983-8382
Fax
(954) 983-8665
NPI assigned
Sep 3, 2013
Last updated
Sep 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8940 FL Primary

Addresses

Primary practice location

3101 W Hallandale Beach Blvd
Suite 101
Hallandale, FL 33009-5160

Mailing address

3101 W Hallandale Beach Blvd
Suite 101
Hallandale, FL 33009-5160
Phone (954) 983-8382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH8940FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ez Home Medical Supply Inc. Current Accepting new patients
Pompano Spine and Wellness, PA Chiropractor Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1013341528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W HALLANDALE BEACH BLVD",
            "address_2": "SUITE 101",
            "city": "HALLANDALE",
            "state": "FL",
            "postal_code": "330095160",
            "telephone_number": "954-983-8382",
            "fax_number": "954-983-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W HALLANDALE BEACH BLVD",
            "address_2": "SUITE 101",
            "city": "HALLANDALE",
            "state": "FL",
            "postal_code": "330095160",
            "telephone_number": "954-983-8382",
            "fax_number": "954-983-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRGILIO",
        "first_name": "JAMES",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.