NPIMap

Organization Active NPI

Wignall Wholistic Clinic PC

Doing business as Eagle-Vail Wholistic Clinic

  • Orthopedic Chiropractor
  • Avon, CO
National Provider Identifier
1336538388
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
4193 Issued in CO
Legal business name
WIGNALL WHOLISTIC CLINIC PC
Doing business as
Eagle-Vail Wholistic Clinic
Practice address
40780- Hwy 6 and 24
Unit 100
Avon, CO 81620-0353
Phone
(970) 949-1952
Fax
(970) 949-0817
NPI assigned
Jan 14, 2015
Last updated
Jan 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Bruce Wignall, D.C.NPI 1356499362
Title
Owner-President
Phone
(970) 949-1952

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 4193 CO Primary

Addresses

Primary practice location

40780- Hwy 6 and 24
Unit 100
Avon, CO 81620-0353

Mailing address

PO Box 353
Avon, CO 81620-0353
Phone (970) 949-1952

Other names 1

  • Eagle-Vail Wholistic Clinic Doing business as

National Provider Directory

National Provider Directory

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": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1336538388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816200353",
            "telephone_number": "970-949-1952",
            "fax_number": "970-949-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40780- HWY 6 AND 24",
            "address_2": "UNIT 100",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816200353",
            "telephone_number": "970-949-1952",
            "fax_number": "970-949-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIGNALL WHOLISTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "WIGNALL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "970-949-1952",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "CO",
            "license": "4193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle-Vail Wholistic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.