NPIMap

Organization Active NPI

Inspiring Vitality Wellness Institute LLC

  • Chiropractor
  • Hudson, WI
National Provider Identifier
1932411873
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1664-012 Issued in WI
Legal business name
INSPIRING VITALITY WELLNESS INSTITUTE LLC
Practice address
2920 Enloe St
Suite 105
Hudson, WI 54016-8190
Phone
(715) 808-0716
Fax
(715) 808-0807
NPI assigned
Jul 8, 2010
Last updated
Oct 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Authorized official

Name
Daryl Lee Cooper, DCNPI 1548497605
Title
Owner
Phone
(715) 808-0716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Chiropractor 111N00000X 1664-012 WI Primary

Addresses

Primary practice location

2920 Enloe St
Suite 105
Hudson, WI 54016-8190

Mailing address

2920 Enloe St
Suite 105
Hudson, WI 54016-8190
Phone (715) 808-0716

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1932411873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 ENLOE ST",
            "address_2": "SUITE 105",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168190",
            "telephone_number": "715-808-0716",
            "fax_number": "715-808-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 ENLOE ST",
            "address_2": "SUITE 105",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168190",
            "telephone_number": "715-808-0716",
            "fax_number": "715-808-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRING VITALITY WELLNESS INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-808-0716",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1664-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.