Individual provider Active NPI

David Arthur Vik, D.C.

  • Chiropractor
  • Pueblo West, CO
National Provider Identifier
1033242888
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4091 Issued in CO
Practice address
171 S Purcell Blvd
Pueblo West, CO 81007-5081
Phone
(719) 547-1979
Fax
(719) 547-7336
NPI assigned
Mar 13, 2007
Last updated
Sep 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 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 4091 CO Primary

Addresses

Primary practice location

171 S Purcell Blvd
Pueblo West, CO 81007-5081

Mailing address

171 S Purcell Blvd
Pueblo West, CO 81007-5081
Phone (719) 547-1979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081229000421 CO Practitioner - Chiropractic 7911897780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

171 S Purcell Blvd
Pueblo West, CO 81007-5081
Phone (719) 547-1979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4091COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo West Chiropractic Center Inc. Chiropractor CurrentSince Apr 16, 2017 Accepting new patients

Locations

171 S Purcell Blvd
Pueblo West, CO 81007
Phone (719) 547-1979

171 S Purcell Blvd
Ste K
Pueblo West, CO 81007

Organizations & group practices 2

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1033242888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 S PURCELL BLVD",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075081",
            "telephone_number": "719-547-1979",
            "fax_number": "719-547-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 S PURCELL BLVD",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075081",
            "telephone_number": "719-547-1979",
            "fax_number": "719-547-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIK",
        "first_name": "DAVID",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo West, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.