Organization Active NPI

Vickers Chiropractic Health Centers PA

  • Chiropractor
  • Avon Park, FL
National Provider Identifier
1467489245
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Sep 1, 2010

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.NPI 1356310445
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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
380135700MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.