Active NPI
Vital Balance Chiropractic LLC
- Clinic/Center
- Orange City, FL
National Provider Identifier
1669156956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- VITAL BALANCE CHIROPRACTIC LLC
- Practice address
- 2425 S Volusia Ave Ste B2
Orange City, FL 32763-7625 - Phone
- (304) 952-3161
- NPI assigned
- Jun 15, 2023
- Last updated
- Jun 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rocky Justice II, DC
- Title
- Manger
- Phone
- (304) 952-3161
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
2425 S Volusia Ave Ste B2
Orange City, FL 32763-7625
Mailing address
2425 S Volusia Ave Ste B2
Orange City, FL 32763-7625
Phone (304) 952-3161
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Orange City, FL
- NPI 1811449119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686787200000",
"number": "1669156956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 S VOLUSIA AVE STE B2",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327637625",
"telephone_number": "304-952-3161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 S VOLUSIA AVE STE B2",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327637625",
"telephone_number": "304-952-3161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL BALANCE CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A",
"authorized_official_last_name": "JUSTICE",
"authorized_official_first_name": "ROCKY",
"authorized_official_title_or_position": "MANGER",
"authorized_official_telephone_number": "304-952-3161",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.