Organization Active NPI

Vince C. Irene, DC., PLLC

  • Chiropractor
  • Lander, WY
National Provider Identifier
1124384524
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
532 Issued in WY
Legal business name
VINCE C. IRENE, DC., PLLC
Practice address
8135 Highway 789
Lander, WY 82520-2926
Phone
(307) 332-4200
Fax
(307) 332-3133
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Dr. Vince C Irene, DC
Title
Doctor of Chiropractic
Phone
(307) 332-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 532 WY Primary

Addresses

Primary practice location

8135 Highway 789
Lander, WY 82520-2926

Mailing address

8135 Highway 789
Lander, WY 82520-2926
Phone (307) 332-4200

Other identifiers 1

IdentifierTypeStateIssuer
114702100MedicaidWY

Other names 1

  • Family Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1124384524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 HIGHWAY 789",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202926",
            "telephone_number": "307-332-4200",
            "fax_number": "307-332-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8135 HIGHWAY 789",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202926",
            "telephone_number": "307-332-4200",
            "fax_number": "307-332-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCE C. IRENE, DC., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "IRENE",
        "authorized_official_first_name": "VINCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "307-332-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114702100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lander, WY

Sources for this page

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