NPIMap

Organization Active NPI

Vitality Chiropractic, LLC

  • Chiropractor
  • Johns Island, SC
National Provider Identifier
1407019763
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3331 Issued in SC
Legal business name
VITALITY CHIROPRACTIC, LLC
Practice address
3069 Maybank Hwy
Johns Island, SC 29455-4873
Phone
(843) 628-5353
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Nicole Bailey Reiter, DC
Title
Owner
Phone
(843) 628-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3331 SC Primary

Addresses

Primary practice location

3069 Maybank Hwy
Johns Island, SC 29455-4873

Mailing address

3069 Maybank Hwy
Johns Island, SC 29455-4873
Phone (843) 628-5353

Other names 1

  • Beyond Wellness Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1407019763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3069 MAYBANK HWY",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554873",
            "telephone_number": "843-628-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 MAYBANK HWY",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554873",
            "telephone_number": "843-628-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "REITER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "BAILEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-628-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beyond Wellness Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.