Organization Active NPI

Vital Nutrition & Chiropractic LLC

  • Chiropractor
  • Lexington, SC
National Provider Identifier
1508582628
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VITAL NUTRITION & CHIROPRACTIC LLC
Practice address
809 S Lake Dr
Lexington, SC 29072-3715
Phone
(803) 399-8104
NPI assigned
Oct 19, 2022
Last updated
Oct 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Dr. Geoffrey Klaffka, DC
Title
Owner/Chiropractor
Phone
(716) 479-4893

Specialties & licenses 1

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

Addresses

Primary practice location

809 S Lake Dr
Lexington, SC 29072-3715

Mailing address

809 S Lake Dr
Lexington, SC 29072-3715
Phone (803) 399-8104

National Provider Directory

National Provider Directory

Locations

809 S Lake Dr
Lexington, SC 29072
Phone (803) 399-8104

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1508582628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723715",
            "telephone_number": "803-399-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723715",
            "telephone_number": "803-399-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL NUTRITION & CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "KLAFFKA",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "716-479-4893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.