NPIMap

Organization Active NPI

Vitality Chiropractic and Wellness

  • Rehabilitation Hospital Unit
  • Little Elm, TX
National Provider Identifier
1437453545
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
11339 Issued in TX
Legal business name
VITALITY CHIROPRACTIC AND WELLNESS
Practice address
1205 Meadowlark Dr
Little Elm, TX 75068-4653
Phone
(832) 671-8569
NPI assigned
Jan 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Dr. Jeremy James Liesveld, D.C.,B.S.N.-R.N.,B.A
Title
Chiropractor
Phone
(832) 671-8569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 11339 TX Primary

Addresses

Primary practice location

1205 Meadowlark Dr
Little Elm, TX 75068-4653

Mailing address

1205 Meadowlark Dr
Little Elm, TX 75068-4653

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1437453545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 MEADOWLARK DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750684653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 MEADOWLARK DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750684653",
            "telephone_number": "832-671-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "LIESVELD",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "832-671-8569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C.,B.S.N.-R.N.,B.A"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "TX",
            "license": "11339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.