John A Vitale, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

826 Issued in TN

Practice address

133 W University Pkwy Ste 105
Jackson, TN 38305

Phone

(731) 664-7935

Fax

(731) 668-6631

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Vitale Chiropractic, PC

  • Chiropractor
  • Jackson, TN
  • NPI 1104059906
  NPD (past) Authorized official

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1194776088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 W UNIVERSITY PKWY STE 105",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051968",
            "telephone_number": "731-664-7935",
            "fax_number": "731-668-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W UNIVERSITY PKWY STE 105",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-664-7935",
            "fax_number": "731-668-6631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1047 Union University Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053655",
            "country_code": "US",
            "telephone_number": "731-664-7935",
            "fax_number": "731-668-6631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITALE",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Vickery, PH.D.
• David Villarreal, MD
• Alexandria Holley Vincent, CNM
• Vitale Chiropractic
• Vitale Chiropractic, PC
• Caleb Kenneth Vivio, LPC-MHSP
• Volcare Heath Services Inc
• Volunteer Family Medicine & Urgent Care, LLC
• Meagan Von-Holtz, D.C.
• Lauren Voorhees, OT

• Chiropractor in Jackson, TN
• Providers in Jackson, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.