Active NPI
Vitality Health Center
- Chiropractor
- Naperville, IL
National Provider Identifier
1336532704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038010082
- Legal business name
- VITALITY HEALTH CENTER
- Practice address
- 1301 S Route 59
Suite 109
Naperville, IL 60564-9010 - Phone
- (773) 573-7788
- NPI assigned
- Mar 10, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rishi Kapoor, DC
- Title
- President
- Phone
- (773) 573-7788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038010082 | IL | Primary |
Addresses
Primary practice location
1301 S Route 59
Suite 109
Naperville, IL 60564-9010
Mailing address
1175 E Ogden Ave
Naperville, IL 60563-4805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090501000392 | IL | Part B Supplier - Clinic/Group Practice | 0244388197 |
Receives reassigned benefits from 1 practitioner 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Joliet, IL; Lisle, IL |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425945600000",
"number": "1336532704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 E OGDEN AVE",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605634805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S ROUTE 59",
"address_2": "SUITE 109",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605649010",
"telephone_number": "773-573-7788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALITY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-10",
"last_updated": "2015-03-10",
"status": "A",
"authorized_official_last_name": "KAPOOR",
"authorized_official_first_name": "RISHI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-573-7788",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038010082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.