Active NPI
Vitale Chiropractic
- Chiropractor
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0000000826
- Legal business name
- VITALE CHIROPRACTIC
- Practice address
- 1047 Union University Dr
Jackson, TN 38305-3655 - Phone
- (731) 664-7935
- NPI assigned
- Oct 5, 2012
- Last updated
- Oct 5, 2012
- 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
- John Vitale
- Title
- Owner
- Phone
- (731) 664-7935
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0000000826 | TN | Primary |
Addresses
Primary practice location
1047 Union University Dr
Jackson, TN 38305-3655
Mailing address
1047 Union University Dr
Jackson, TN 38305-3655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3676493 | Other | MEDICARE PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryLocations
1047 Union University Dr
Jackson, TN 38305
Phone (731) 300-4847
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Jackson, TN
- NPI 1194776088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349395200000",
"number": "1730431438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1047 UNION UNIVERSITY DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1047 UNION UNIVERSITY DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053655",
"telephone_number": "731-664-7935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALE CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-05",
"last_updated": "2012-10-05",
"status": "A",
"authorized_official_last_name": "VITALE",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "731-664-7935"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC0000000826",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "3676493",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.