Vital Force Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2008000933 Issued in MO

Legal business name

VITAL FORCE CHIROPRACTIC PC

Practice address

10028 Manchester Rd
Suite 209
Saint Louis, MO 63122-1831

Phone

(314) 596-4070

Fax

(314) 596-4075

NPI assigned

Nov 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth M Bagley, D.C.NPI 1104068618

Title

Owner

Phone

(314) 596-4070

Specialties & licenses 1

Addresses

Other names 1

• Vital Force Upper Cervical Clinic LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth M Bagley, D.C.

  • Chiropractor
  • Saint Louis, MO
  • NPI 1104068618
  Medicare reassignment Authorized official
• Celeste Cummings, DC

  • Chiropractor
  • Saint Louis, MO
  • NPI 1972303063
  NPD (past)
• Alyssa Lynn Wedemeyer, DC

  • Chiropractor
  • Saint Louis, MO
  • NPI 1609351410
  NPD (past)

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1649676735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10028 MANCHESTER RD",
            "address_2": "SUITE 209",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221831",
            "telephone_number": "314-596-4070",
            "fax_number": "314-596-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10028 MANCHESTER RD",
            "address_2": "SUITE 209",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221831",
            "telephone_number": "314-596-4070",
            "fax_number": "314-596-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL FORCE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-596-4070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2008000933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Force Upper Cervical Clinic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Vista Dermatology LLC
• Vista Imaging Partners, LLC
• Humsini Viswanath
• Vitae Health Medical Missouri LLC
• Vital Essence Apothecary LLC
• Vital Home Care Services LLC
• Vital Lab Services, Inc
• Angelina Vitale
• Chloe M Vitale, CRNA
• Jenna Marie Vitale

• Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.