Organization Active NPI

Vital Health of the Palm Beaches, Inc.

  • Chiropractor
  • West Palm Beach, FL
National Provider Identifier
1043409618
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7797 Issued in FL
Legal business name
VITAL HEALTH OF THE PALM BEACHES, INC.
Practice address
411 7TH St
Suite 4B
West Palm Beach, FL 33401-3921
Phone
(561) 835-3556
Fax
(561) 835-0352
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Dr. Mark W Ashley, D.C.NPI 1326245523
Title
President
Phone
(561) 835-3556

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 CH7797 FL Primary

Addresses

Primary practice location

411 7TH St
Suite 4B
West Palm Beach, FL 33401-3921

Mailing address

411 7TH St
Suite 4B
West Palm Beach, FL 33401-3921
Phone (561) 835-3556

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050414000931 FL Part B Supplier - Clinic/Group Practice 6608813282 Receives reassigned benefits from 1 practitioner
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

411 7th St
Ste 4
West Palm Beach, FL 33401
Phone (561) 835-3556

411 7th St
Ste 4B
West Palm Beach, FL 33401
Phone (561) 835-3556

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": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1043409618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 7TH ST",
            "address_2": "SUITE 4B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013921",
            "telephone_number": "561-835-3556",
            "fax_number": "561-835-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 7TH ST",
            "address_2": "SUITE 4B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013921",
            "telephone_number": "561-835-3556",
            "fax_number": "561-835-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HEALTH OF THE PALM BEACHES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-835-3556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.