Organization Active NPI

Vital Family Chiropractic LLC

  • Chiropractor
  • Mount Pleasant, SC
National Provider Identifier
1720610462
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VITAL FAMILY CHIROPRACTIC LLC
Practice address
1039 Johnnie Dodds Blvd # 7
Mount Pleasant, SC 29464-6155
Phone
(843) 284-6601
NPI assigned
Feb 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Derek Mobley
Title
Doctor
Phone
(843) 284-6601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1039 Johnnie Dodds Blvd # 7
Mount Pleasant, SC 29464-6155

Mailing address

1039 Johnnie Dodds Blvd # 7
Mount Pleasant, SC 29464-6155
Phone (843) 284-6601

National Provider Directory

National Provider Directory

Locations

1039 Johnnie Dodds Blvd
#7
Mount Pleasant, SC 29464
Phone (843) 284-6601

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1720610462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 JOHNNIE DODDS BLVD # 7",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294646155",
            "telephone_number": "843-284-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 JOHNNIE DODDS BLVD # 7",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294646155",
            "telephone_number": "843-284-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "843-284-6601"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.