Vibrant Health Chiropractic Prof LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VIBRANT HEALTH CHIROPRACTIC PROF LLC

Practice address

6116 S Lyncrest Ave Ste 105
Sioux Falls, SD 57108-2576

Phone

(605) 270-0871

NPI assigned

May 9, 2019

Organization subpart

No

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

Authorized official

Name

Sarah Kenyon, DCNPI 1629517552

Title

Sole Member

Phone

(605) 270-0871

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 1

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

• Sarah Kenyon, D.C.

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1629517552
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1093370637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 W COURTYARD LN",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571081729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 S LYNCREST AVE STE 105",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082576",
            "telephone_number": "605-270-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT HEALTH CHIROPRACTIC PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "KENYON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "605-270-0871",
        "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": []
}

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• Chiropractor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.