Individual provider Active NPI

Anatolia Vick, DC

  • Chiropractor
  • Houston, TX
National Provider Identifier
1780112300
Registry record updated May 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13482 Issued in TX
Practice address
3400 Bissonnet St Ste 220
Houston, TX 77005-2100
Phone
(800) 404-6050
Fax
(866) 313-3397
NPI assigned
May 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13482 TX Primary

Addresses

Primary practice location

3400 Bissonnet St Ste 220
Houston, TX 77005-2100

Mailing address

911 Central Pkwy N Ste 300
San Antonio, TX 78232-5053
Phone (800) 404-6050

Other identifiers 1

IdentifierTypeStateIssuer
13482OtherTXTEXAS BOARD OF CHIROPRACTIC EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13482TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Airrosti Rehab Centers Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495756800000",
    "number": "1780112300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 CENTRAL PKWY N STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325053",
            "telephone_number": "800-404-6050",
            "fax_number": "866-313-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BISSONNET ST STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052100",
            "telephone_number": "800-404-6050",
            "fax_number": "866-313-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICK",
        "first_name": "ANATOLIA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF CHIROPRACTIC EXAMINERS",
            "identifier": "13482",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; 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.