Organization Active NPI

Vitality Chiropractic and Wellness PLLC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1669710562
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8300 Issued in AZ
Legal business name
VITALITY CHIROPRACTIC AND WELLNESS PLLC
Practice address
4802 N 16TH St
Phoenix, AZ 85016-4606
Phone
(602) 349-6988
NPI assigned
Jan 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Dr. Aaron Michael Hicks, D.C.
Title
Sole Member
Phone
(602) 349-6988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8300 AZ Primary

Addresses

Primary practice location

4802 N 16TH St
Phoenix, AZ 85016-4606

Mailing address

4802 N 16TH St
Phoenix, AZ 85016-4606
Phone (602) 349-6988

National Provider Directory

National Provider Directory

Locations

4802 N 16th St
Phoenix, AZ 85016
Phone (602) 349-6988

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1669710562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164606",
            "telephone_number": "602-349-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164606",
            "telephone_number": "602-349-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY CHIROPRACTIC AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "602-349-6988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.