Organization Active NPI

Vitality Chiropractic

  • Chiropractor
  • Jonesboro, AR
National Provider Identifier
1245911700
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VITALITY CHIROPRACTIC
Practice address
1411 Marketplace Dr Ste B
Jonesboro, AR 72401-5232
Phone
(870) 523-2225
NPI assigned
Jul 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Dr. Misty Dawn Tramel, DCNPI 1700426152
Title
President
Phone
(870) 819-1060

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X

Addresses

Primary practice location

1411 Marketplace Dr Ste B
Jonesboro, AR 72401-5232

Mailing address

1122 Malcolm Ave
Newport, AR 72112-3506
Phone (870) 523-2225

Other practice location 1

1122 Malcolm Ave
Newport, AR 72112-3506
Phone (870) 523-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240213003321 AR Part B Supplier - Clinic/Group Practice 6305289794 Receives reassigned benefits from 2 practitioners
Practice locations: Jonesboro, AR; Newport, AR

National Provider Directory

National Provider Directory

Locations

1411 Marketplace Dr
Ste B
Jonesboro, AR 72401
Phone (870) 523-2225

1122 Malcolm Ave
Newport, AR 72112
Phone (870) 523-2225

Practitioners & affiliated clinicians

Practitioners 2

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": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1245911700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 MALCOLM AVE",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123506",
            "telephone_number": "870-523-2225",
            "fax_number": "870-523-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MARKETPLACE DR STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015232",
            "telephone_number": "870-523-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1122 Malcolm Ave",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "AR",
            "postal_code": "721123506",
            "country_code": "US",
            "telephone_number": "870-523-2225",
            "fax_number": "870-523-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITALITY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "TRAMEL",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-819-1060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.