Active NPI
Vital Chiropractic LLC
- Chiropractor
- Lexington, SC
National Provider Identifier
1912367129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4117
- Legal business name
- VITAL CHIROPRACTIC LLC
- Practice address
- 5140 Sunset Blvd
Suite a
Lexington, SC 29072-7332 - Phone
- (803) 609-8503
- Fax
- (803) 832-1793
- NPI assigned
- Mar 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samantha Messina, DC
- Title
- Owner
- Phone
- (803) 609-8503
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4117 | SC | Primary |
Addresses
Primary practice location
5140 Sunset Blvd
Suite a
Lexington, SC 29072-7332
Mailing address
5140 Sunset Blvd
Suite a
Lexington, SC 29072-7332
Phone (803) 609-8503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5140 Sunset Blvd
Ste A
Lexington, SC 29072
Phone (803) 609-8503
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lexington, SC
- NPI 1669832879
-
- Chiropractor
- Lexington, SC
- NPI 1467923094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456790400000",
"number": "1912367129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5140 SUNSET BLVD",
"address_2": "SUITE A",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290727332",
"telephone_number": "803-609-8503",
"fax_number": "803-832-1793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 SUNSET BLVD",
"address_2": "SUITE A",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290727332",
"telephone_number": "803-609-8503",
"fax_number": "803-832-1793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-01",
"last_updated": "2016-03-01",
"status": "A",
"authorized_official_last_name": "MESSINA",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-609-8503",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "SC",
"license": "4117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.