NPIMap

Organization Active NPI

Vital Chiropractic & Wellness PLLC

  • Chiropractor
  • Austin, TX
National Provider Identifier
1508223637
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13066 Issued in TX
Legal business name
VITAL CHIROPRACTIC & WELLNESS PLLC
Doing business as
Family First Chiropractic
Practice address
1221 W Ben White Blvd
Ste. 111a
Austin, TX 78704-7192
Phone
(737) 222-6014
Fax
(737) 222-5986
NPI assigned
Jan 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Dr. Jonathan Edward Shultz, D.C.
Title
Owner
Phone
(512) 963-9469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 13066 TX Primary

Addresses

Primary practice location

1221 W Ben White Blvd
Ste. 111a
Austin, TX 78704-7192

Mailing address

1221 W Ben White Blvd
Ste. 111a
Austin, TX 78704-7192
Phone (737) 222-6014

Other names 1

  • Family First Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1221 W Ben White Blvd
Ste 111A
Austin, TX 78704
Phone (737) 222-6014

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1508223637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD",
            "address_2": "STE. 111A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047192",
            "telephone_number": "737-222-6014",
            "fax_number": "737-222-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD",
            "address_2": "STE. 111A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047192",
            "telephone_number": "737-222-6014",
            "fax_number": "737-222-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CHIROPRACTIC & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "SHULTZ",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-963-9469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family First Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.