Active NPI
Jerry Wayne Vitek, D.C.
- Chiropractor
- Santa Fe, TX
National Provider Identifier
1700812542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5884
- Practice address
- 12122 Highway 6
Santa Fe, TX 77510-2021 - Phone
- (409) 925-1803
- Fax
- (409) 925-8812
- NPI assigned
- Jun 23, 2006
- Last updated
- Aug 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5884 | TX | Primary |
Addresses
Primary practice location
12122 Highway 6
Santa Fe, TX 77510-2021
Mailing address
PO Box 589
Santa Fe, TX 77517-0589
Phone (409) 925-1803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5884 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217548800000",
"number": "1700812542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 589",
"city": "SANTA FE",
"state": "TX",
"postal_code": "775170589",
"telephone_number": "409-925-1803",
"fax_number": "409-925-8812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12122 HIGHWAY 6",
"city": "SANTA FE",
"state": "TX",
"postal_code": "775102021",
"telephone_number": "409-925-1803",
"fax_number": "409-925-8812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITEK",
"first_name": "JERRY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2008-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "5884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, TX
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- Mayra Alejandra Tovias, O.D.
- Wynn Vanhouten
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- David Antonio Vindel Brower, DDS
- Chien Dinh Vu, PHARMD.
- Karen Colleen Watkins, FNP
- Christina Bonno Whitehurst, D.D.S.
- Natalie Gallerano Willis, DDS
- Rebecca Wrightt, IHP 2 MBCE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.