NPIMap

Organization Active NPI

Vital Link Chiropractic,P.C.

  • Chiropractor
  • Flushing, NY
National Provider Identifier
1497035554
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011451-1 Issued in NY
Legal business name
VITAL LINK CHIROPRACTIC,P.C.
Practice address
14228 38TH Ave
#2F
Flushing, NY 11354-5526
Phone
(718) 888-0072
Fax
(718) 888-7747
NPI assigned
Aug 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Jae Ku Kim, D.C.
Title
President
Phone
(718) 888-0072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X011451-1 NY Primary

Addresses

Primary practice location

14228 38TH Ave
#2F
Flushing, NY 11354-5526

Mailing address

14228 38TH Ave
#2F
Flushing, NY 11354-5526
Phone (718) 888-0072

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1497035554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14228 38TH AVE",
            "address_2": "#2F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545526",
            "telephone_number": "718-888-0072",
            "fax_number": "718-888-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14228 38TH AVE",
            "address_2": "#2F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545526",
            "telephone_number": "718-888-0072",
            "fax_number": "718-888-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL LINK CHIROPRACTIC,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAE KU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-888-0072",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011451-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.