Vida Wellness Center Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VIDA WELLNESS CENTER CHIROPRACTIC LLC

Practice address

2111 S College Ave Ste B
Fort Collins, CO 80525-5404

Phone

(720) 297-1086

NPI assigned

May 15, 2026

Organization subpart

No

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

Authorized official

Name

Jazmin Genesis Gonzalez, DCNPI 1124995105

Title

Chiropractor

Phone

(720) 297-1086

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jazmin Genesis Gonzalez

  • Chiropractor
  • Fort Collins, CO
  • NPI 1124995105
  NPD Authorized official

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1891624821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 S COLLEGE AVE STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255404",
            "telephone_number": "970-232-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 S COLLEGE AVE STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255404",
            "telephone_number": "720-297-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA WELLNESS CENTER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JAZMIN",
        "authorized_official_middle_name": "GENESIS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "720-297-1086",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.