Vida Chiropractic Studio, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6077 Issued in CO

Legal business name

VIDA CHIROPRACTIC STUDIO, LLC

Practice address

4650 W 38TH Ave
Suite 210
Denver, CO 80212-2161

Phone

(303) 433-5433

Fax

(303) 433-8432

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Scott David Evans, DCNPI 1275676777

Title

Owner

Phone

(303) 433-5433

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Vida Chiropractic Studio LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vida Chiropractic Studio, LLC

  • Chiropractor
  • Denver, CO
  • NPI 1598941692
  NPD tax ID

Practitioners 1

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

• Scott David Evans, DC

  • Chiropractor
  • Denver, CO
  • NPI 1275676777
  NPD (past) Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1194891671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 W 38TH AVE",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122161",
            "telephone_number": "303-433-5433",
            "fax_number": "303-433-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W 38TH AVE",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122161",
            "telephone_number": "303-433-5433",
            "fax_number": "303-433-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA CHIROPRACTIC STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-433-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7232115",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Grutz Marriage and Family Therapy PLLC
• Hilary Somers Victoroff, FNP
• Victory Associates LTD, Inc.
• Victory Home Care LLC
• Victory Project-Based Academics & Competency (Vpac)
• Vida Chiropractic Studio, LLC
• Vida Medica Care, PLLC
• Vida Nueva Counseling, LLC
• Caleb Evans Vidic, DO
• Adrienne Amber Viera

• Chiropractor in Denver, CO
• Providers in Denver, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.