Individual provider Active NPI

John G Vilkelis, D.C.

  • Chiropractor
  • Somers, NY
National Provider Identifier
1174699847
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007658 Issued in NY
Practice address
378 Route 202 Ste 1a
Somers, NY 10589-3249
Phone
(914) 618-4330
Fax
(212) 582-9705
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X007658 NY Primary

Addresses

Primary practice location

378 Route 202 Ste 1a
Somers, NY 10589-3249

Mailing address

378 Route 202 Ste 1a
Somers, NY 10589-3249
Phone (914) 618-4330

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
X007658NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Chiropractic of Newington LLC Chiropractor Past Accepting new patients

Organizations & group practices 1

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1174699847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 ROUTE 202 STE 1A",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893249",
            "telephone_number": "914-618-4330",
            "fax_number": "212-582-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 ROUTE 202 STE 1A",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893249",
            "telephone_number": "914-618-4330",
            "fax_number": "212-582-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILKELIS",
        "first_name": "JOHN",
        "middle_name": "G",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.