Vitalife Chiropractic of Paynesville, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VITALIFE CHIROPRACTIC OF PAYNESVILLE, PLLC

Doing business as

VitaLife Chiropractic

Practice address

208 W James St
Paynesville, MN 56362-1219

Phone

(320) 243-7412

NPI assigned

Oct 27, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Courtney Erin Stenger, DCNPI 1487124590

Title

Owner/Chiropractor

Phone

(320) 248-0040

Specialties & licenses 1

Addresses

Other names 1

• VitaLife Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney Erin Stenger, DC

  • Chiropractor
  • Paynesville, MN
  • NPI 1487124590
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1346840733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W JAMES ST",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563621219",
            "telephone_number": "320-243-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W JAMES ST",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563621219",
            "telephone_number": "320-243-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALIFE CHIROPRACTIC OF PAYNESVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "STENGER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "320-248-0040",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VitaLife Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryan Stroyny, PHARM.D.
• Ronald Craig Swenson, LADC
• Shannon Swenson
• Joshua Roy Thorsten, RN
• Unified Social Services
• Ashley Warne
• Erin Warner, PHARMD
• Katie Wendroth, DPT
• Teresa Marie Winter, MASSAGE THERAPIST
• Brittany Janae Young, DDS

• Chiropractor in Paynesville, MN
• Providers in Paynesville, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.