Individual provider Active NPI

James Theodore Vigil, D.C.

  • Chiropractor
  • Walsenburg, CO
National Provider Identifier
1679791644
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5081 Issued in CO
Practice address
110 E 6TH St
Walsenburg, CO 81089-2020
Phone
(719) 738-3808
Fax
(719) 738-3808
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5081 CO Primary

Addresses

Primary practice location

110 E 6TH St
Walsenburg, CO 81089-2020

Mailing address

110 E 6TH St
Walsenburg, CO 81089-2020
Phone (719) 738-3808

Other identifiers 1

IdentifierTypeStateIssuer
P00147521OtherCORAILROAD MEDICARE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040402000905 CO Practitioner - Chiropractic 0446242861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 E 6TH St
Vigil Family Chiropractic
Walsenburg, CO 81089-2020
Phone (719) 738-3808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5081COMDMental Health Counselor
861MTMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Vigil Enterprises Chiropractor CurrentSince Mar 24, 2015 Accepting new patients

Locations

110 E 6th St
Walsenburg, CO 81089
Phone (719) 738-0707

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1679791644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 6TH ST",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810892020",
            "telephone_number": "719-738-3808",
            "fax_number": "719-738-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 6TH ST",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810892020",
            "telephone_number": "719-738-3808",
            "fax_number": "719-738-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGIL",
        "first_name": "JAMES",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "P00147521",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walsenburg, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.