NPIMap

Organization Active NPI

Vail Med Inc

Doing business as Vail Integrative Medical Group

  • Chiropractor
  • Edwards, CO
National Provider Identifier
1851449920
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4030 Issued in CO
Legal business name
VAIL MED INC
Doing business as
Vail Integrative Medical Group
Practice address
0105 Edwards Village Center
A203
Edwards, CO 81632
Phone
(970) 926-4600
Fax
(970) 926-4602
NPI assigned
Jan 8, 2007
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Dr. Joel T Dekanich, FNP-C, MSN, DC, MSNPI 1467598128
Title
President
Phone
(970) 926-4600

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 4030 CO Primary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X 11122 CO
Primary Care Clinic/Center 261QP2300X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

0105 Edwards Village Center
A203
Edwards, CO 81632

Mailing address

PO Box 2637
Edwards, CO 81632-2637
Phone (970) 926-4600

Other practice location 1

717 Sylvan Lake Rd # A
Eagle, CO 81631-6488
Phone (970) 328-1200

Other names 1

  • VAIL INTEGRATIVE MEDICAL GROUP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041108000530 CO Part B Supplier - Clinic/Group Practice 1759344005 Receives reassigned benefits from 6 practitioners
Practice locations: Eagle, CO; Edwards, CO; Vail, CO
O20110812000025 CO DME Supplier - Nurse Practitioner 1759344005 Practice locations: Edwards, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Vail Integrative Medical Group0105 Edwards Village Ctr A203, Edwards, CO 81632(970) 926-4600 Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|Pneumatic Compression Devices and/or Supplies|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricat… Accepts assignmentParticipating since Nov 30, 2004

National Provider Directory

National Provider Directory

Locations

3560 Evergreen Pkwy
Ste B11
Evergreen, CO 80439

1031 S Frontage Rd W
Ste D
Vail, CO 81657
Phone (970) 479-6262

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1851449920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2637",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816322637",
            "telephone_number": "970-926-4600",
            "fax_number": "970-926-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0105 EDWARDS VILLAGE CENTER",
            "address_2": "A203",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "970-926-4600",
            "fax_number": "970-926-4602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 Sylvan Lake Rd # A",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "CO",
            "postal_code": "816316488",
            "country_code": "US",
            "telephone_number": "970-328-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VAIL MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "DEKANICH",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-926-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP-C, MSN, DC, MS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4030",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "11122",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VAIL INTEGRATIVE MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VAIL INTEGRATIVE MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.