Organization Active NPI

Vivo Chiropractic Vernon, LLC

  • Chiropractor
  • Vernon, CT
National Provider Identifier
1356794945
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001658 Issued in CT
Legal business name
VIVO CHIROPRACTIC VERNON, LLC
Practice address
520 Hartford Tpke Ste B
Vernon, CT 06066-5043
Phone
(860) 649-7705
Fax
(860) 649-7485
NPI assigned
Jul 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Dr. April M Little, D.C.NPI 1679652929
Title
Owner/Chiropractor
Phone
(860) 649-7705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 001658 CT Primary

Addresses

Primary practice location

520 Hartford Tpke Ste B
Vernon, CT 06066-5043

Mailing address

520 Hartford Tpke Ste B
Vernon, CT 06066-5043
Phone (860) 649-7705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160921000771 CT Part B Supplier - Clinic/Group Practice 1456648385 Receives reassigned benefits from 1 practitioner
Practice locations: Vernon, CT

National Provider Directory

National Provider Directory

Locations

27 Hartford Tpke
Ste 205
Vernon, CT 06066
Phone (860) 649-7705

520 Hartford Tpke
Ste B
Vernon Rockville, CT 06066
Phone (860) 649-7705

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1356794945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 HARTFORD TPKE STE B",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665043",
            "telephone_number": "860-649-7705",
            "fax_number": "860-649-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 HARTFORD TPKE STE B",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665043",
            "telephone_number": "860-649-7705",
            "fax_number": "860-649-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVO CHIROPRACTIC VERNON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "860-649-7705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.