Organization Active NPI

Vertical Chiropractic Inc

  • Chiropractor
  • Durango, CO
National Provider Identifier
1760854079
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7143 Issued in CO
Legal business name
VERTICAL CHIROPRACTIC INC
Practice address
3750 Main Ave Ste 3
Durango, CO 81301-4020
Phone
(970) 403-8888
Fax
(970) 403-8889
NPI assigned
Oct 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Christina Marie Fettig, D.C.
Title
Doctor of Chiropractic
Phone
(701) 640-4715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7143 CO Primary

Addresses

Primary practice location

3750 Main Ave Ste 3
Durango, CO 81301-4020

Mailing address

3750 Main Ave Ste 3
Durango, CO 81301-4020
Phone (970) 403-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160215000605 CO Part B Supplier - Clinic/Group Practice 1456655356 Receives reassigned benefits from 1 practitioner
Practice locations: Durango, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1760854079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 MAIN AVE STE 3",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014020",
            "telephone_number": "970-403-8888",
            "fax_number": "970-403-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 MAIN AVE STE 3",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014020",
            "telephone_number": "970-403-8888",
            "fax_number": "970-403-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERTICAL CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "FETTIG",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "701-640-4715",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "7143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.