NPIMap

Organization Active NPI

Vital Link Chiropractic, LLC

  • Chiropractor
  • Fort Collins, CO
National Provider Identifier
1629001391
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4384 Issued in CO
Legal business name
VITAL LINK CHIROPRACTIC, LLC
Practice address
1002 W Drake Rd
Suite #102
Fort Collins, CO 80526-5568
Phone
(970) 224-5005
Fax
(970) 266-2715
NPI assigned
Jul 8, 2006
Last updated
Sep 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
Dr. Matthew James Kriewall, D.C.NPI 1194771279
Title
Chiropractor
Phone
(970) 224-5005

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
Chiropractor 111N00000X 4384 CO Primary

Addresses

Primary practice location

1002 W Drake Rd
Suite #102
Fort Collins, CO 80526-5568

Mailing address

1002 W Drake Rd
Suite #102
Fort Collins, CO 80526-5568
Phone (970) 224-5005

National Provider Directory

National Provider Directory

Locations

1002 W Drake Rd
Ste 102
Fort Collins, CO 80526
Phone (970) 224-5005

Practitioners & affiliated clinicians

Practitioners 3

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1629001391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 W DRAKE RD",
            "address_2": "SUITE #102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265568",
            "telephone_number": "970-224-5005",
            "fax_number": "970-266-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W DRAKE RD",
            "address_2": "SUITE #102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265568",
            "telephone_number": "970-224-5005",
            "fax_number": "970-266-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL LINK CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "KRIEWALL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "970-224-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.