Complete Vitality

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9648109-1202 Issued in UT

Legal business name

COMPLETE VITALITY

Practice address

3325 N University Ave Ste 125
Provo, UT 84604-6615

Phone

(801) 374-2774

Fax

(801) 374-2775

NPI assigned

Jul 18, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Charles M Vanchiere, DCNPI 1972962173

Title

Owner

Phone

(801) 374-2774

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Charles Vanchiere, DC

  • Chiropractor
  • Provo, UT
  • NPI 1972962173
  NPD Authorized official

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1902382310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 N UNIVERSITY AVE STE 125",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046615",
            "telephone_number": "801-374-2774",
            "fax_number": "801-374-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 N UNIVERSITY AVE STE 125",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046615",
            "telephone_number": "801-374-2774",
            "fax_number": "801-374-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE VITALITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "VANCHIERE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-374-2774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "9648109-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972962173",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaz Derrick Colton, DNP
• Anne Colver
• Makenzie Rae Combe, CSW
• Bethany Combs, HSW
• Shanowa Emily Combs, HSW
• Compumed, Inc.
• Concordia Families, PLLC
• Cassity Krischelle Condit, L.P.C.
• Loren Conklin, PA
• Mark Conley, DO

• Chiropractor in Provo, UT
• Providers in Provo, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.