Active NPI
Joseph Peter Vitale, DC
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1083782171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 005173
- Practice address
- 6651 Chippewa
Suite 311
St Louis, MO 63109 - Phone
- (314) 752-0856
- Fax
- (314) 752-3786
- NPI assigned
- Nov 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 005173 | MO | Primary |
Addresses
Primary practice location
6651 Chippewa
Suite 311
St Louis, MO 63109
Mailing address
6651 Chippewa
Suite 311
St Louis, MO 63109
Phone (314) 752-0856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060120000010 | MO | Practitioner - Chiropractic | 3678597416 | Practice locations: Saint Louis, MO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005173 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083782171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6651 CHIPPEWA",
"address_2": "SUITE 311",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63109",
"telephone_number": "314-752-0856",
"fax_number": "314-752-3786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6651 CHIPPEWA",
"address_2": "SUITE 311",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63109",
"telephone_number": "314-752-0856",
"fax_number": "314-752-3786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITALE",
"first_name": "JOSEPH",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "005173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.