NPIMap

Organization Active NPI

Vitality Chiro PC

Doing business as Vitality Chiropractic Lifestyle Center

  • Chiropractor
  • Arthur, NE
National Provider Identifier
1255721189
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1567 Issued in NE
Legal business name
VITALITY CHIRO PC
Doing business as
Vitality Chiropractic Lifestyle Center
Practice address
214 E Staples St
Arthur, NE 69121-8410
Phone
(308) 284-0838
Fax
(308) 284-0848
NPI assigned
Jan 30, 2015
Last updated
Jan 30, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
VITALITY CHIRO PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Dr. Nicolas J Fanning, D.C., M.S.NPI 1760616023
Title
Owner/Doctor
Phone
(308) 284-0838

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1567 NE Primary

Addresses

Primary practice location

214 E Staples St
Arthur, NE 69121-8410

Mailing address

PO Box 96
Ogallala, NE 69153-0096
Phone (308) 284-0838

Other identifiers 1

IdentifierTypeStateIssuer
10026132200MedicaidNE

Other names 1

  • Vitality Chiropractic Lifestyle Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vitality Chiro PC2 organizations share this tax ID, including this one
Part of
Vitality Chiro PC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1255721189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "OGALLALA",
            "state": "NE",
            "postal_code": "691530096",
            "telephone_number": "308-284-0838",
            "fax_number": "308-284-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E STAPLES ST",
            "city": "ARTHUR",
            "state": "NE",
            "postal_code": "691218410",
            "telephone_number": "308-284-0838",
            "fax_number": "308-284-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY CHIRO PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VITALITY CHIRO PC",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "FANNING",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "308-284-0838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., M.S."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026132200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Chiropractic Lifestyle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arthur, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.