NPIMap

Organization Active NPI

Vie Chiropractic LLC

  • Chiropractor
  • Riverdale, MD
National Provider Identifier
1669040242
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VIE CHIROPRACTIC LLC
Practice address
6504 47TH St
Riverdale, MD 20737-1093
Phone
(757) 232-7586
NPI assigned
Jun 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Dr. Jillian Campbell, DC
Title
Chiropractor and Owner
Phone
(757) 232-7586

Specialties & licenses 1

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

Addresses

Primary practice location

6504 47TH St
Riverdale, MD 20737-1093

Mailing address

6504 47TH St
Riverdale, MD 20737-1093
Phone (757) 232-7586

Other identifiers 3

IdentifierTypeStateIssuer
CH030212OtherDCLICENSE
S04044OtherMDLICENSE
0104557622OtherVALICENSE

Other names 1

  • Vie Chiropractic Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL viechiro.janeapp.com/admin

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1669040242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6504 47TH ST",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371093",
            "telephone_number": "757-232-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6504 47TH ST",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371093",
            "telephone_number": "757-232-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "CHIROPRACTOR AND OWNER",
        "authorized_official_telephone_number": "757-232-7586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CH030212",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "S04044",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0104557622",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "viechiro.janeapp.com/admin",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Record System",
            "address_1": "6504 47th St",
            "city": "Riverdale",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207371093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vie Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.