Organization Active NPI

Vintage Chiropractic

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1912459769
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0000943 Issued in DE
Legal business name
VINTAGE CHIROPRACTIC
Practice address
2305 W 12TH St
Apt 2
Wilmington, DE 19805-2609
Phone
(302) 363-8758
NPI assigned
Oct 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Dr. Gloria Kirsena Stone, DC
Title
Chiropractor
Phone
(302) 363-8758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X F1-0000943 DE Primary

Addresses

Primary practice location

2305 W 12TH St
Apt 2
Wilmington, DE 19805-2609

Mailing address

2305 W 12TH St
Apt 2
Wilmington, DE 19805-2609
Phone (302) 363-8758

National Provider Directory

National Provider Directory

Locations

2205 Silverside Rd
Ste 3
Wilmington, DE 19810
Phone (302) 407-6426

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1912459769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 W 12TH ST",
            "address_2": "APT 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052609",
            "telephone_number": "302-363-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 W 12TH ST",
            "address_2": "APT 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052609",
            "telephone_number": "302-363-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "KIRSENA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "302-363-8758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.