Vital Energy Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2073 Issued in CO

Legal business name

VITAL ENERGY CHIROPRACTIC, PC

Practice address

6355 Ward Rd
Suite 420
Arvada, CO 80004-3819

Phone

(303) 463-9395

Fax

(303) 403-4219

NPI assigned

Jun 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Homer G. Wall, D,C,

Title

Owner

Phone

(303) 463-9395

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vital Energy Wellness & Chiropractic Center, Inc. Other name

Locations

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1689801276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 686",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804020686",
            "telephone_number": "303-463-9395",
            "fax_number": "303-403-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WARD RD",
            "address_2": "SUITE 420",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800043819",
            "telephone_number": "303-463-9395",
            "fax_number": "303-403-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL ENERGY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "HOMER",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-463-9395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,C,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1518140029",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Energy Wellness & Chiropractic Center, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Caitlin Villarreal, LCSW
• Enrique Villarreal, LPC
• Fabian Villegas
• Holly Vincent, O.D.
• Michael Louis Viscarelli, D.C.
• Vitality Chiropractic, Inc.
• Alyson Elizabeth Vito
• Vivewell PLLC
• Kursten K Von Koss, OTR
• Oi-Ha Cecilia Voo

• Chiropractor in Arvada, CO
• Providers in Arvada, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.