Organization Active NPI

Invictus Chiropractic LLC

  • Chiropractor
  • Essex Junction, VT
National Provider Identifier
1750909487
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INVICTUS CHIROPRACTIC LLC
Practice address
4 Pearl St Ste 103
Essex Junction, VT 05452-4149
Phone
(802) 404-6000
NPI assigned
Jul 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Dr. Jason Davila, DCNPI 1265989297
Title
Owner
Phone
(802) 404-6000

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 Primary

Addresses

Primary practice location

4 Pearl St Ste 103
Essex Junction, VT 05452-4149

Mailing address

4 Pearl St Ste 103
Essex Junction, VT 05452-4149
Phone (802) 404-6000

National Provider Directory

National Provider Directory

Locations

4 Pearl St
Ste 103
Essex Junction, VT 05452
Phone (802) 404-6000

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": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1750909487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PEARL ST STE 103",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054524149",
            "telephone_number": "802-404-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PEARL ST STE 103",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054524149",
            "telephone_number": "802-404-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVICTUS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-404-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.