Organization Active NPI

Vinciguerra Family Chiropractic Inc

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1053517334
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-280 Issued in DE
Legal business name
VINCIGUERRA FAMILY CHIROPRACTIC INC
Doing business as
Optimal Performance Chiropractic
Practice address
2500 Grubb Rd Ste 132
Wilmington, DE 19810-4711
Phone
(302) 475-3200
Fax
(302) 475-2516
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Catherine Porrini
Title
Office Manager
Phone
(302) 475-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X F1-280 DE Primary

Addresses

Primary practice location

2500 Grubb Rd Ste 132
Wilmington, DE 19810-4711

Mailing address

2500 Grubb Rd Ste 132
Wilmington, DE 19810-4711
Phone (302) 475-3200

Other identifiers 1

IdentifierTypeStateIssuer
250782634MedicaidDE

Other names 1

  • Optimal Performance Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081112000300 DE Part B Supplier - Clinic/Group Practice 0840359345 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

1800 Naamans Rd
Ste 1
Wilmington, DE 19810
Phone (302) 475-3200

2500 Grubb Rd
Ste 132
Wilmington, DE 19810
Phone (302) 475-3200

Practitioners & affiliated clinicians

Practitioners 2

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": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1053517334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GRUBB RD STE 132",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104711",
            "telephone_number": "302-475-3200",
            "fax_number": "302-475-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GRUBB RD STE 132",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104711",
            "telephone_number": "302-475-3200",
            "fax_number": "302-475-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCIGUERRA FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "PORRINI",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "302-475-3200"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250782634",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Performance Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.