Vital Force Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4412-012 Issued in WI

Legal business name

VITAL FORCE CHIROPRACTIC, INC.

Practice address

910 Via de la Paz Ste 102
Pacific Palisades, CA 90272-3568

Phone

(310) 230-1800

Fax

(310) 230-1811

NPI assigned

May 2, 2008

Last updated

Oct 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Gerald Watson, D.C.NPI 1639343585

Title

Ceo

Phone

(310) 774-6772

Specialties & licenses 1

Addresses

Other names 1

• Vital Force Chiropractic Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Shannon Gerald Watson, D.C.

  • Chiropractor
  • Malibu, CA
  • NPI 1639343585
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1316113053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 VIA DE LA PAZ STE 102",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723568",
            "telephone_number": "310-230-1800",
            "fax_number": "310-230-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 VIA DE LA PAZ STE 102",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723568",
            "telephone_number": "310-230-1800",
            "fax_number": "310-230-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL FORCE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-774-6772",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4412-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Force Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• VA Greater Los Angeles Health Care System
• Monica Valencia Hernandez, DDS
• Van Medical Corporation
• Roozan Varteressian, PH.D., LCSW
• Ali Vaziri, D.D.S.
• Wagner Chiropractic
• Edward D Wagner, DC
• Marta L Ward, DDS
• Dylan James Warner, DDS
• Scott A Warner, DDS

• Chiropractor in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.