Organization Active NPI

Vigo Chiropractic LLC

  • Chiropractor
  • Deland, FL
National Provider Identifier
1922468206
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11298 Issued in FL
Legal business name
VIGO CHIROPRACTIC LLC
Practice address
339 E New York Ave
Deland, FL 32724-5509
Phone
(386) 734-4490
Fax
(386) 736-7556
NPI assigned
Mar 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Dr. Susan Lee Vigo, DC
Title
Chiropractor
Phone
(386) 734-4490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11298 FL Primary

Addresses

Primary practice location

339 E New York Ave
Deland, FL 32724-5509

Mailing address

339 E New York Ave
Deland, FL 32724-5509
Phone (386) 734-4490

National Provider Directory

National Provider Directory

Locations

203 W Wisconsin Ave
Deland, FL 32720
Phone (386) 624-6770

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": "1922468206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 E NEW YORK AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245509",
            "telephone_number": "386-734-4490",
            "fax_number": "386-736-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 E NEW YORK AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245509",
            "telephone_number": "386-734-4490",
            "fax_number": "386-736-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGO CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "VIGO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "386-734-4490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.