Organization Active NPI

Vitality Precision Chiropractic PLLC

  • Chiropractor
  • Rochester Hills, MI
National Provider Identifier
1437501053
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010381 Issued in MI
Legal business name
VITALITY PRECISION CHIROPRACTIC PLLC
Practice address
2614 S Adams Rd
Rochester Hills, MI 48309-5509
Phone
(248) 897-0699
Fax
(248) 897-0611
NPI assigned
Jul 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Dr. Brendan Shanahan, DCNPI 1245682863
Title
Co Owner
Phone
(248) 266-0837

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 2301010381 MI Primary

Addresses

Primary practice location

2614 S Adams Rd
Rochester Hills, MI 48309-5509

Mailing address

2614 S Adams Rd
Rochester Hills, MI 48309-5509
Phone (248) 897-0699

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160802002897 MI Part B Supplier - Clinic/Group Practice 4183918949 Receives reassigned benefits from 3 practitioners
Practice locations: Rochester Hills, MI

National Provider Directory

National Provider Directory

Locations

2590 S Adams Rd
Rochester Hills, MI 48309
Phone (248) 266-0837

Practitioners & affiliated clinicians

Practitioners 3

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": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1437501053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 S ADAMS RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483095509",
            "telephone_number": "248-897-0699",
            "fax_number": "248-897-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 S ADAMS RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483095509",
            "telephone_number": "248-897-0699",
            "fax_number": "248-897-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY PRECISION CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "SHANAHAN",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "248-266-0837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.