Organization Active NPI

Vitality Health Center

  • Exclusive Provider Organization
  • Denver, CO
National Provider Identifier
1104091941
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
4764 Issued in CO
Legal business name
VITALITY HEALTH CENTER
Practice address
2696 S Colorado Blvd
Ste 230
Denver, CO 80222-5945
Phone
(303) 691-0022
Fax
(303) 753-1804
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Dr. Joshua T Johnston, D.C.
Title
President
Phone
(303) 691-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 4764 CO Primary

Addresses

Primary practice location

2696 S Colorado Blvd
Ste 230
Denver, CO 80222-5945

Mailing address

2696 S Colorado Blvd
Ste 230
Denver, CO 80222-5945
Phone (303) 691-0022

Other identifiers 1

IdentifierTypeStateIssuer
U85388OtherCOUPIN

National Provider Directory

National Provider Directory

Locations

2696 S Colorado Blvd
Ste 230
Denver, CO 80222
Phone (303) 691-0022

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": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1104091941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2696 S COLORADO BLVD",
            "address_2": "STE 230",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225945",
            "telephone_number": "303-691-0022",
            "fax_number": "303-753-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2696 S COLORADO BLVD",
            "address_2": "STE 230",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225945",
            "telephone_number": "303-691-0022",
            "fax_number": "303-753-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-691-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CO",
            "license": "4764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U85388",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.