Individual provider Active NPI

Michael Vuiller, D.C.

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1871917765
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104-557155 Issued in VA
Practice address
1932 Kempsville Rd
Suite 103
Virginia Beach, VA 23464-6953
Phone
(757) 467-5258
Fax
(757) 467-4641
NPI assigned
Feb 12, 2014
Last updated
Feb 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104-557155 VA Primary

Addresses

Primary practice location

1932 Kempsville Rd
Suite 103
Virginia Beach, VA 23464-6953

Mailing address

1932 Kempsville Rd
Suite 103
Virginia Beach, VA 23464-6953
Phone (757) 467-5258

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
0104-557155VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Derek D. Russell, D.C., Inc. Chiropractor CurrentSince Mar 8, 2016 Accepting new patients

Locations

2125 McComas Way
Ste 101
Virginia Beach, VA 23456
Phone (757) 427-7690

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1871917765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 KEMPSVILLE RD",
            "address_2": "SUITE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646953",
            "telephone_number": "757-467-5258",
            "fax_number": "757-467-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 KEMPSVILLE RD",
            "address_2": "SUITE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646953",
            "telephone_number": "757-467-5258",
            "fax_number": "757-467-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUILLER",
        "first_name": "MICHAEL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.