Charles Meyer Vifquain, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006088 Issued in MO

Practice address

319 SE Main St
Lees Summit, MO 64063-2333

Phone

(816) 524-7000

Fax

(816) 524-6993

NPI assigned

Nov 18, 2005

Last updated

Mar 24, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Body Dynamics Chiropractic Center Inc

  • Point of Service
  • Lee's Summit, MO
  • NPI 1871794644
  NPD (past) Authorized official
• Lee's Summit Chiropractic Center P.C.

  • Chiropractor
  • Lee's Summit, MO
  • NPI 1235596982
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1033191689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 SE MAIN ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632333",
            "telephone_number": "816-524-7000",
            "fax_number": "816-524-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 SE MAIN ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632333",
            "telephone_number": "816-524-7000",
            "fax_number": "816-524-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIFQUAIN",
        "first_name": "CHARLES",
        "middle_name": "MEYER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006088",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "006088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Vazquez, COTA/L
• Sallie L. Veenstra, M.D.
• Tonya Vega, RN
• Ammon L. Verdught, M.D.
• Lance Adkins Vickery, APRN
• Chase Jordane Vifquain, D.C.
• Sarah C. Vignery, CCC-SLP
• Viracor Management LLC
• Vision Point LLC
• Visionworks, Inc. (Visionworks)

• Chiropractor in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.