Active NPI
Vail Chiropractic Clinic PLLC
- Clinic/Center
- Winona, MN
National Provider Identifier
1710158621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 4671
- Legal business name
- VAIL CHIROPRACTIC CLINIC PLLC
- Practice address
- 902 E 2ND St Ste 301
Winona, MN 55987-6516 - Phone
- (507) 474-4260
- Fax
- (507) 474-4262
- NPI assigned
- Mar 19, 2008
- 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. John D Vail, D.C.
- Title
- Chief Manger
- Phone
- (507) 474-4260
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 4671 | MN | Primary |
Addresses
Primary practice location
902 E 2ND St Ste 301
Winona, MN 55987-6516
Mailing address
902 E 2ND St Ste 301
Winona, MN 55987-6516
Phone (507) 474-4260
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350003310 | Other | MN | MEDICARE |
| 38979300 | Medicaid | WI | |
| 570697100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
164 E 4th St
Winona, MN 55987
902 E 2nd St
Ste 301
Winona, MN 55987
Phone (507) 474-4260
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Winona, MN
- NPI 1083609440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659398400000",
"number": "1710158621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 E 2ND ST STE 301",
"city": "WINONA",
"state": "MN",
"postal_code": "559876516",
"telephone_number": "507-474-4260",
"fax_number": "507-474-4262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 E 2ND ST STE 301",
"city": "WINONA",
"state": "MN",
"postal_code": "559876516",
"telephone_number": "507-474-4260",
"fax_number": "507-474-4262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAIL CHIROPRACTIC CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-19",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A",
"authorized_official_last_name": "VAIL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CHIEF MANGER",
"authorized_official_telephone_number": "507-474-4260",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MN",
"license": "4671",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "350003310",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38979300",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "570697100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.