Vincent Vassallo

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301401342 Issued in MI

Practice address

20960 Allen Rd
Brownstown TWP, MI 48183-1018

Phone

(734) 479-5130

NPI assigned

Dec 14, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Odette Chiropractic Family Health Center PLC

  • Chiropractor
  • Brownstown TWP, MI
  • NPI 1528153764
  Medicare reassignment NPD
• Rumph Chiropractic Clinic PC

  • Chiropractor
  • Waterford, MI
  • NPI 1659405868
  Medicare reassignment NPD
• Siegel Chiropractic Clinic

  • Chiropractor
  • Woodhaven, MI
  • NPI 1457491524
  NPD (past)

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1124730833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20960 ALLEN RD",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831018",
            "telephone_number": "734-479-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20960 ALLEN RD",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831018",
            "telephone_number": "734-479-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSALLO",
        "first_name": "VINCENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Other",
            "affiliation": "N",
            "endpointDescription": "Odette and Corne Chiropractic",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "20960 Allen Rd",
            "city": "Brownstown Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481831018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Township of Brownstown
• John Tran, DPM
• U & I Home Care LLC
• Jeanine Rose Ursing, NP-C
• Mustak Y Vaid, MD
• Rohit Verma, MD
• Vicki Anton Anthens DPM PC
• Lynnette Waara
• Kyle Alexander Walker, PT, DPT
• Jennifer Wheeler

• Chiropractor in Brownstown TWP, MI
• Providers in Brownstown TWP, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.