Active NPI
Pueblo West Chiropractic Center Inc.
- Chiropractor
- Pueblo West, CO
National Provider Identifier
1770799744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CO4489
- Legal business name
- PUEBLO WEST CHIROPRACTIC CENTER INC.
- Practice address
- 171 S Purcell Blvd
Pueblo West, CO 81007-5081 - Phone
- (719) 547-1979
- Fax
- (719) 547-7336
- NPI assigned
- May 15, 2007
- 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
- Dr. Angela Elaine Vik, D.C.
- Title
- Co-Owner
- Phone
- (719) 547-1979
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CO4489 | CO | Primary |
| Chiropractor | 111N00000X | CO4091 | CO |
Addresses
Primary practice location
171 S Purcell Blvd
Pueblo West, CO 81007-5081
Mailing address
171 S Purcell Blvd
Pueblo West, CO 81007-5081
Phone (719) 547-1979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Pueblo West, CO
- NPI 1033242888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380499200000",
"number": "1770799744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 S PURCELL BLVD",
"city": "PUEBLO WEST",
"state": "CO",
"postal_code": "810075081",
"telephone_number": "719-547-1979",
"fax_number": "719-547-7336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 S PURCELL BLVD",
"city": "PUEBLO WEST",
"state": "CO",
"postal_code": "810075081",
"telephone_number": "719-547-1979",
"fax_number": "719-547-7336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUEBLO WEST CHIROPRACTIC CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2013-09-30",
"status": "A",
"authorized_official_last_name": "VIK",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "719-547-1979",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CO",
"license": "CO4489",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CO",
"license": "CO4091",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo West, CO
- Professional Hearing Solutions, Inc
- Project Pueblo
- Pueblo Ankle and Foot Care, PLLC
- Pueblo Regional Center
- Pueblo West Assisted Living, LLC (Legacy Commons at Pueblo West)
- Pueblo West Chiropractic Health Solutions Inc.
- Pueblo West Dental, Prof.LLC (Pueblo West Neighborhood Dental and Implants)
- Pueblo West Gardens
- Pueblo West Metropolitan District
- Pueblo West Neighborhood Dental (Pueblo West Dental Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.