Individual provider Active NPI

David Vega Jr., DC

  • Chiropractor
  • Wentzville, MO
National Provider Identifier
1124742812
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2023049804 Issued in MO
Practice address
1229 Wentzville Pkwy Ste 201
Wentzville, MO 63385-3553
Phone
(636) 327-8811
NPI assigned
Sep 27, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2023049804 MO Primary
Chiropractor 111N00000X 5542 NC

Addresses

Primary practice location

1229 Wentzville Pkwy Ste 201
Wentzville, MO 63385-3553

Mailing address

228 Blue Sage Dr
Ballwin, MO 63011-5001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5542NCMDProfessional Counselor
2023049804MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
TWC Wentzville LLC Chiropractor CurrentSince May 19, 2024 Accepting new patients
Wesling Health Consultants, LLC Chiropractor CurrentSince May 19, 2024 Accepting new patients
Greenway Chiropractic PLLC Chiropractor PastSince Oct 1, 2022 Accepting new patients

Locations

1229 Wentzville Pkwy
Ste 201
Wentzville, MO 63385
Phone (636) 327-8811

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1124742812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 BLUE SAGE DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630115001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 WENTZVILLE PKWY STE 201",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853553",
            "telephone_number": "636-327-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-27",
        "last_updated": "2024-05-13",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2023049804",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.