NPIMap

Organization Active NPI

Vuagniaux Upper Cervical, LLC

Doing business as Upper Cervical Health Centers of America

  • Chiropractor
  • Glen Carbon, IL
National Provider Identifier
1427344183
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007437 Issued in IL
Legal business name
VUAGNIAUX UPPER CERVICAL, LLC
Doing business as
Upper Cervical Health Centers of America
Practice address
20 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502
Phone
(618) 692-6992
Fax
(618) 692-9792
NPI assigned
Jun 21, 2011
Last updated
Jun 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Dr. Thad S Vuagniaux, D.CNPI 1932285483
Title
Member, Owner
Phone
(618) 692-6992

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-007437 IL Primary

Addresses

Primary practice location

20 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502

Mailing address

20 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502
Phone (618) 692-6992

Other names 1

  • Upper Cervical Health Centers of America Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150713001179 FL Part B Supplier - Clinic/Group Practice 8224207923 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

12651 McGregor Blvd
Ste 102
Fort Myers, FL 33919
Phone (239) 243-8810

20 Ginger Creek Pkwy
Glen Carbon, IL 62034
Phone (618) 692-6992

Practitioners & affiliated clinicians

Practitioners 4

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": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1427344183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GINGER CREEK PKWY",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343502",
            "telephone_number": "618-692-6992",
            "fax_number": "618-692-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GINGER CREEK PKWY",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343502",
            "telephone_number": "618-692-6992",
            "fax_number": "618-692-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VUAGNIAUX UPPER CERVICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "VUAGNIAUX",
        "authorized_official_first_name": "THAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER, OWNER",
        "authorized_official_telephone_number": "618-692-6992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Cervical Health Centers of America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Carbon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.