Individual provider Active NPI

Denise Vuich, D.C.

  • Chiropractor
  • Santa Monica, CA
National Provider Identifier
1306956545
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
025194 Issued in CA
Practice address
1654 Ocean Ave
Santa Monica, CA 90401-3212
Phone
(310) 663-1347
Fax
(310) 260-9787
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 025194 CA Primary

Addresses

Primary practice location

1654 Ocean Ave
Santa Monica, CA 90401-3212

Mailing address

1654 Ocean Ave
Santa Monica, CA 90401-3212
Phone (310) 663-1347

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125003940 PA Practitioner - Chiropractic 9739532748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Principled Chiropractic LLCGroup PAC ID 2264600089, 3 clinicians

Practice addresses (Care Compare)

2990 /2E State St
Hermitage, PA 16148-2747
Phone (724) 418-2990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025194CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Principled Chiropractic LLC Chiropractor CurrentSince Dec 18, 2023 Accepting new patients

Locations

2990 E State St
Hermitage, PA 16148
Phone (724) 418-2990

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306956545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 OCEAN AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904013212",
            "telephone_number": "310-663-1347",
            "fax_number": "310-260-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 OCEAN AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904013212",
            "telephone_number": "310-663-1347",
            "fax_number": "310-260-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUICH",
        "first_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "025194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.