Vincent Bellonzi, DC,CCN

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

6272 Issued in TX

Practice address

1700 S Lamar Blvd
240
Austin, TX 78704-8962

Phone

(512) 473-8900

Fax

(512) 472-9898

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Radiant Wellness

  • Chiropractor
  • Austin, TX
  • NPI 1700114964
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1194813675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S LAMAR BLVD",
            "address_2": "240",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787048962",
            "telephone_number": "512-473-8900",
            "fax_number": "512-472-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S LAMAR BLVD",
            "address_2": "240",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787048962",
            "telephone_number": "512-473-8900",
            "fax_number": "512-472-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLONZI",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DC,CCN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1181",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TX",
            "license": "6272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "742704522",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Rae Belleisle, RPH
• Edward Bellingrath, O.D.
• Charlotte Bellis, LICENSED MIDWIFE
• Kristian Bello Mendez, RD
• Brenda Lee Bellocchio, DDS
• Yvonne Belmah
• Leah Belmares, CRNA
• Belonging Counseling, PLLC
• Beloved and Known Counseling LLC
• Jon L Belsher, M.D.

• Nutrition Chiropractor in Austin, TX
• Providers in Austin, TX by specialty
• Nutrition Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.