Organization Active NPI

Vida Chiropractic and Wellness, LLC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1790325207
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VIDA CHIROPRACTIC AND WELLNESS, LLC
Practice address
7319 N John Ave Ste 101
Portland, OR 97203-4890
Phone
(503) 468-5845
NPI assigned
Jan 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Dr. Brittany Marie Plymell, DCNPI 1871141440
Title
Chiropractor
Phone
(503) 468-5845

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

7319 N John Ave Ste 101
Portland, OR 97203-4890

Mailing address

7319 N John Ave Ste 101
Portland, OR 97203-4890
Phone (503) 468-5845

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Vidapdxchiro.com Direct

National Provider Directory

National Provider Directory

Locations

7319 N John Ave
Ste 101
Portland, OR 97203
Phone (503) 468-5845

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": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1790325207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7319 N JOHN AVE STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972034890",
            "telephone_number": "503-468-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7319 N JOHN AVE STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972034890",
            "telephone_number": "503-468-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA CHIROPRACTIC AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "PLYMELL",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "503-468-5845",
        "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": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Vidapdxchiro.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7319 N John Ave Ste 101",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972034890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.