Active NPI
Vibrant Sol Chiropractic, PLLC
- Chiropractor
- Midwest City, OK
National Provider Identifier
1710497193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4248
- Legal business name
- VIBRANT SOL CHIROPRACTIC, PLLC
- Practice address
- 9107 SE 29TH St Ste B
Midwest City, OK 73130-7163 - Phone
- (405) 604-7368
- NPI assigned
- Oct 11, 2017
- 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. Jessica Bre Solis, DC
- Title
- Chiropractor
- Phone
- (405) 604-7368
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4248 | OK | Primary |
Addresses
Primary practice location
9107 SE 29TH St Ste B
Midwest City, OK 73130-7163
Mailing address
9300 Draper LN
Oklahoma City, OK 73165-9311
Phone (405) 604-7368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9107 SE 29th St
Ste B
Oklahoma City, OK 73130
Phone (405) 604-7368
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
- Midwest City, OK
- NPI 1346641867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518566400000",
"number": "1710497193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 DRAPER LN",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731659311",
"telephone_number": "405-604-7368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9107 SE 29TH ST STE B",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731307163",
"telephone_number": "405-604-7368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIBRANT SOL CHIROPRACTIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-11",
"last_updated": "2018-02-14",
"status": "A",
"authorized_official_last_name": "SOLIS",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "BRE",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "405-604-7368",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OK",
"license": "4248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.