Organization Active NPI

Vibrant Chiropractic LLC

  • Chiropractor
  • Sylvania, OH
National Provider Identifier
1184331506
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VIBRANT CHIROPRACTIC LLC
Practice address
5658 Main St Ste 107
Sylvania, OH 43560-1930
Phone
(517) 416-5088
NPI assigned
Nov 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Dr. Austin June Dempsey, DCNPI 1326540105
Title
Owner
Phone
(419) 464-9211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5658 Main St Ste 107
Sylvania, OH 43560-1930

Mailing address

5658 Main St Ste 107
Sylvania, OH 43560-1930
Phone (419) 464-9211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230328002941 OH Part B Supplier - Clinic/Group Practice 5991179277 Receives reassigned benefits from 1 practitioner
Practice locations: Sylvania, OH

National Provider Directory

National Provider Directory

Locations

5658 Main St
Sylvania, OH 43560

5658 Main St
Ste 107
Sylvania, OH 43560
Phone (419) 464-9211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1184331506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5658 MAIN ST STE 107",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435601930",
            "telephone_number": "419-464-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5658 MAIN ST STE 107",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435601930",
            "telephone_number": "517-416-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "DEMPSEY",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-464-9211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.