Organization Active NPI

Vibrant Sol Chiropractic, PLLC

  • Chiropractor
  • Midwest City, OK
National Provider Identifier
1710497193
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4248 Issued in OK
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

Updated by the provider on Feb 14, 2018

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

Authorized official

Name
Dr. Jessica Bre Solis, DCNPI 1346641867
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20180207002106 OK Part B Supplier - Clinic/Group Practice 2668732819 Receives reassigned benefits from 1 practitioner
Practice locations: Midwest City, OK

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.