Organization Active NPI

Vitality Chiropractic Wellness Services LLC

  • Chiropractor
  • Holland, MI
National Provider Identifier
1124560974
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010479 Issued in MI
Legal business name
VITALITY CHIROPRACTIC WELLNESS SERVICES LLC
Practice address
12053 Parkview LN
Holland, MI 49424-8934
Phone
(314) 402-3816
NPI assigned
Nov 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Miss Erin Hogan, D.C.
Title
Owner
Phone
(314) 402-3816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301010479 MI Primary

Addresses

Primary practice location

12053 Parkview LN
Holland, MI 49424-8934

Mailing address

12053 Parkview LN
Holland, MI 49424-8934

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1124560974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12053 PARKVIEW LN",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12053 PARKVIEW LN",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248934",
            "telephone_number": "314-402-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY CHIROPRACTIC WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-402-3816",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.