Organization Active NPI

Vitale Chiropractic, PC

  • Chiropractor
  • Jackson, TN
National Provider Identifier
1104059906
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
826 Issued in TN
Legal business name
VITALE CHIROPRACTIC, PC
Practice address
1047 Union University Dr
Jackson, TN 38305-3655
Phone
(731) 664-7935
Fax
(731) 668-6631
NPI assigned
Aug 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Dr. John A Vitale, D.C.NPI 1194776088
Title
Owner/Chiropractor
Phone
(731) 664-7935

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 826 TN Primary

Addresses

Primary practice location

1047 Union University Dr
Jackson, TN 38305-3655

Mailing address

1047 Union University Dr
Jackson, TN 38305-3655
Phone (731) 664-7935

National Provider Directory

National Provider Directory

Locations

1047 Union University Dr
Jackson, TN 38305
Phone (731) 664-7935

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": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1104059906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 UNION UNIVERSITY DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053655",
            "telephone_number": "731-664-7935",
            "fax_number": "731-668-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 UNION UNIVERSITY DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053655",
            "telephone_number": "731-664-7935",
            "fax_number": "731-668-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALE CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "VITALE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "731-664-7935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.