Active NPI
Vickers Chiropractic Health Centers PA
- Chiropractor
- Avon Park, FL
National Provider Identifier
1467489245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- VICKERS CHIROPRACTIC HEALTH CENTERS PA
- Practice address
- 1116 Billy Martin Rd
Avon Park, FL 33825-4858 - Phone
- (863) 453-0684
- Fax
- (863) 453-2873
- NPI assigned
- Jun 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward Dee Vickers Jr., D.C.
- Title
- President
- Phone
- (863) 453-0684
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
1116 Billy Martin Rd
Avon Park, FL 33825-4858
Mailing address
PO Box 150
Avon Park, FL 33826-0150
Phone (863) 453-0684
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380135700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1116 Billy Martin Rd
Avon Park, FL 33825
Phone (863) 453-0684
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Avon Park, FL
- NPI 1356310445
-
- Massage Therapist
- Avon Park, FL
- NPI 1821304635
-
- Chiropractor
- Clewiston, FL
- NPI 1902124688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283299200000",
"number": "1467489245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 150",
"city": "AVON PARK",
"state": "FL",
"postal_code": "338260150",
"telephone_number": "863-453-0684",
"fax_number": "863-453-2873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 BILLY MARTIN RD",
"city": "AVON PARK",
"state": "FL",
"postal_code": "338254858",
"telephone_number": "863-453-0684",
"fax_number": "863-453-2873"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICKERS CHIROPRACTIC HEALTH CENTERS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-27",
"last_updated": "2010-09-01",
"status": "A",
"authorized_official_last_name": "VICKERS",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "DEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "863-453-0684",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380135700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avon Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.