Individual provider Active NPI

Alberto Vangurp Jr., DC

  • Chiropractor
  • Plant City, FL
National Provider Identifier
1871082545
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12417 Issued in FL
Practice address
1501 W Reynolds St Ste 101
Plant City, FL 33563-4707
Phone
(340) 332-6000
NPI assigned
May 8, 2018
Last updated
Oct 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12417 FL Primary

Addresses

Primary practice location

1501 W Reynolds St Ste 101
Plant City, FL 33563-4707

Mailing address

9018 Iron Oak Ave
Tampa, FL 33647-3162
Phone (340) 332-6000

Other practice location 1

9018 Iron Oak Ave
Tampa, FL 33647-3162
Phone (340) 332-6000

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12417FLMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1871082545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9018 IRON OAK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473162",
            "telephone_number": "340-332-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W REYNOLDS ST STE 101",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634707",
            "telephone_number": "340-332-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9018 Iron Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336473162",
            "country_code": "US",
            "telephone_number": "340-332-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANGURP",
        "first_name": "ALBERTO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.