Organization Active NPI

Vital Chiropractic PC

  • Chiropractor
  • Bronx, NY
National Provider Identifier
1033472980
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VITAL CHIROPRACTIC PC
Practice address
1942 Williamsbridge Rd
Bronx, NY 10461-1605
Phone
(718) 684-2580
Fax
(718) 684-2588
NPI assigned
Jun 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Angelo Daley, DCNPI 1356602536
Title
Owner
Phone
(718) 684-2580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1942 Williamsbridge Rd
Bronx, NY 10461-1605

Mailing address

1942 Williamsbridge Rd
Bronx, NY 10461-1605
Phone (718) 684-2580

National Provider Directory

National Provider Directory

Locations

1942 Williamsbridge Rd
Bronx, NY 10461
Phone (718) 684-2580

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1033472980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611605",
            "telephone_number": "718-684-2580",
            "fax_number": "718-684-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611605",
            "telephone_number": "718-684-2580",
            "fax_number": "718-684-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "DALEY",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-684-2580",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.