NPIMap

Organization Active NPI

Vibrant Family Wellness LLC

Doing business as Vibrant Family Chiropractic

  • Chiropractor
  • Waseca, MN
National Provider Identifier
1528623311
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VIBRANT FAMILY WELLNESS LLC
Doing business as
Vibrant Family Chiropractic
Practice address
109 2ND Ave SE
Waseca, MN 56093-3040
Phone
(507) 571-2566
NPI assigned
May 7, 2019
Last updated
May 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Authorized official

Name
Mackenzie Marie Hoy, DCNPI 1932764214
Title
Chiropractor
Phone
(507) 461-3689

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

109 2ND Ave SE
Waseca, MN 56093-3040

Mailing address

720 4TH St NE
Waseca, MN 56093-2839
Phone (507) 461-3689

Other names 1

  • Vibrant Family Chiropractic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.vibrantfamchiro.com

National Provider Directory

National Provider Directory

Locations

109 2nd Ave SE
Waseca, MN 56093
Phone (507) 461-3689

201 State St S
Waseca, MN 56093
Phone (507) 461-3689

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": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1528623311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 4TH ST NE",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560932839",
            "telephone_number": "507-461-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 2ND AVE SE",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560933040",
            "telephone_number": "507-571-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT FAMILY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "HOY",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "507-461-3689",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.vibrantfamchiro.com",
            "affiliation": "N",
            "address_1": "201 State St S",
            "city": "Waseca",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560933044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vibrant Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vibrant Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waseca, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.