Organization Active NPI

Vigor Chiropractic & Wellness, LLC

  • Chiropractor
  • Fort Pierce, FL
National Provider Identifier
1558654640
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10302 Issued in FL
Legal business name
VIGOR CHIROPRACTIC & WELLNESS, LLC
Practice address
4842 N Kings Hwy
Fort Pierce, FL 34951-2243
Phone
(772) 405-7877
Fax
(772) 293-9163
NPI assigned
May 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Authorized official

Name
Dr. Allen M Ruppert, DC
Title
Owner Chiropractic Physician
Phone
(772) 405-7877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10302 FL Primary

Addresses

Primary practice location

4842 N Kings Hwy
Fort Pierce, FL 34951-2243

Mailing address

1924 Wren Ave
Fort Pierce, FL 34982-5635

National Provider Directory

National Provider Directory

Locations

4812 N Kings Hwy
#27
Fort Pierce, FL 34951
Phone (772) 405-7877

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": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1558654640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 WREN AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4842 N KINGS HWY",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349512243",
            "telephone_number": "772-405-7877",
            "fax_number": "772-293-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGOR CHIROPRACTIC & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "RUPPERT",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "772-405-7877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.