Organization Active NPI

Vine Family Chiropractic Centre

  • Chiropractor
  • Kissimmee, FL
National Provider Identifier
1790978989
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VINE FAMILY CHIROPRACTIC CENTRE
Practice address
700 W Vine St
Suite 101
Kissimmee, FL 34741-4203
Phone
(407) 935-1137
Fax
(407) 935-1138
NPI assigned
Aug 22, 2007
Last updated
Aug 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Dr. Travis R Wells, D.C.
Title
Owner
Phone
(407) 935-1137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

700 W Vine St
Suite 101
Kissimmee, FL 34741-4203

Mailing address

700 W Vine St
Suite 101
Kissimmee, FL 34741-4203
Phone (407) 935-1137

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1790978989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W VINE ST",
            "address_2": "SUITE 101",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414203",
            "telephone_number": "407-935-1137",
            "fax_number": "407-935-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W VINE ST",
            "address_2": "SUITE 101",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414203",
            "telephone_number": "407-935-1137",
            "fax_number": "407-935-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE FAMILY CHIROPRACTIC CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-935-1137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.