Organization Active NPI

Dr M.a. Vega Chiropractic Physician P.C.

  • Chiropractor
  • Ozark, MO
National Provider Identifier
1629144142
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2000149664 Issued in MO
Legal business name
DR M.A. VEGA CHIROPRACTIC PHYSICIAN P.C.
Practice address
1405 W State Highway J
Ozark, MO 65721-7473
Phone
(417) 581-1300
Fax
(417) 581-1388
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Dr. Michael A Vega, DCNPI 1982892618
Title
Chirpractic Physician
Phone
(417) 581-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2000149664 MO Primary

Addresses

Primary practice location

1405 W State Highway J
Ozark, MO 65721-7473

Mailing address

1405 W State Highway J
Ozark, MO 65721-7473
Phone (417) 581-1300

Other names 1

  • Vega Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070717000107 MO Part B Supplier - Clinic/Group Practice 0244330454 Receives reassigned benefits from 1 practitioner
Practice locations: Ozark, MO

National Provider Directory

National Provider Directory

Locations

1114 W Jackson St
Ozark, MO 65721
Phone (417) 581-1234

1405 W State Highway J
Ozark, MO 65721
Phone (417) 581-1300

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": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1629144142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W STATE HIGHWAY J",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657217473",
            "telephone_number": "417-581-1300",
            "fax_number": "417-581-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W STATE HIGHWAY J",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657217473",
            "telephone_number": "417-581-1300",
            "fax_number": "417-581-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR M.A. VEGA CHIROPRACTIC PHYSICIAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIRPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "417-581-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2000149664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vega Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ozark, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.