Concho Valley Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CONCHO VALLEY CHIROPRACTIC PLLC

Practice address

5114 Knickerbocker Rd
San Angelo, TX 76904-7714

Phone

(325) 617-2865

NPI assigned

Sep 10, 2020

Organization subpart

No

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

Authorized official

Name

Emily Vlcek

Title

Chiropractor

Phone

(979) 324-7529

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Emily Smith, DC

  • Chiropractor
  • San Angelo, TX
  • NPI 1629542816
  Medicare reassignment Care Compare group NPD
• James Vlcek, DC

  • Chiropractor
  • Cedar Hill, TX
  • NPI 1942774260
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1467067199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 KNICKERBOCKER RD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 KNICKERBOCKER RD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047714",
            "telephone_number": "325-617-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCHO VALLEY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "VLCEK",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "979-324-7529"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concho Valley Center for Human Advancement
• Concho Valley Center for Human Advancement
• Concho Valley Center for Human Advancement
• Concho Valley Center for Human Advancement
• Concho Valley Center for Human Advancement
• Concho Valley Council of Governments
• Concho Valley Emergency Physicians PLLC
• Concho Valley Errand Services
• Concho Valley Family Dental
• Concho Valley Family Dental, P.a.

• Chiropractor in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.