Vital Spine and Health Studio, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VITAL SPINE AND HEALTH STUDIO, LLC

Practice address

12484 SW 127TH Ave
Miami, FL 33186-6597

Phone

(786) 701-8353

NPI assigned

Jul 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Megan Gomez, DCNPI 1851997415

Title

Doctor of Chiropractic

Phone

(786) 930-1009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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

• Megan Gomez, DC

  • Chiropractor
  • Miami, FL
  • NPI 1851997415
  Medicare reassignment Care Compare group NPD Authorized official
• Justin Alexis Sujo, DC

  • Chiropractor
  • Miami, FL
  • NPI 1295313542
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1194451807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12484 SW 127TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866597",
            "telephone_number": "786-701-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12484 SW 127TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866597",
            "telephone_number": "786-701-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SPINE AND HEALTH STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "786-930-1009",
        "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": []
}

• Vital Medicare Therapist Corp
• Vital Minds Behavior Services, LLC
• Vital Psych MD LLC
• Vital Rush Services LLC
• Vital RX LLC
• Vital Voice and Speech LLC
• Danae Vital, D.D.S.
• Maria C Vital
• Michelle Marie Vital
• Monica Vital, MS CCC-SLP

• Chiropractor in Miami, FL
• Providers in Miami, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.