NPIMap

Organization Active NPI

Vitality Chiropractic Center Inc

  • Rehabilitation Clinic/Center
  • Bellevue, WA
National Provider Identifier
1497914170
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
MA00025081 Issued in WA
Legal business name
VITALITY CHIROPRACTIC CENTER INC
Practice address
12811 SE 38TH St
Bellevue, WA 98006-1326
Phone
(425) 378-1800
Fax
(425) 746-1587
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Mr. Kenneth Harold Kieswetter II, LMP
Title
Massage Practitioner
Phone
(425) 378-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X MA00025081 WA Primary

Addresses

Primary practice location

12811 SE 38TH St
Bellevue, WA 98006-1326

Mailing address

12811 SE 38TH St
Bellevue, WA 98006-1326
Phone (425) 378-1800

National Provider Directory

National Provider Directory
Tax ID family
Vitality Chiropractic Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1497914170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12811 SE 38TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061326",
            "telephone_number": "425-378-1800",
            "fax_number": "425-746-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12811 SE 38TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061326",
            "telephone_number": "425-378-1800",
            "fax_number": "425-746-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "KIESWETTER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "MASSAGE PRACTITIONER",
        "authorized_official_telephone_number": "425-378-1800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "WA",
            "license": "MA00025081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.