NPIMap

Organization Active NPI

Vitality Studios

  • Chiropractor
  • Plano, TX
National Provider Identifier
1053478628
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VITALITY STUDIOS
Practice address
5072 West Plano Parkway
Suite 170
Plano, TX 75093
Phone
(972) 248-7488
Fax
(972) 250-1924
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Walter Joe Ford Jr., DCNPI 1669579173
Title
Doctor
Phone
(972) 248-7488

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5072 West Plano Parkway
Suite 170
Plano, TX 75093

Mailing address

PO Box 260172
Plano, TX 75093
Phone (972) 248-7488

Other names 1

  • S Corporation Other name

National Provider Directory

National Provider Directory

Locations

5072 W Plano Pkwy
Ste 170
Plano, TX 75093
Phone (972) 248-1924

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1053478628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260172",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "972-248-7488",
            "fax_number": "972-250-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5072 WEST PLANO PARKWAY",
            "address_2": "SUITE 170",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "972-248-7488",
            "fax_number": "972-250-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY STUDIOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "972-248-7488",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.