Individual provider Active NPI

Vivian Montemayor, DC

  • Chiropractor
  • New Port Richey, FL
National Provider Identifier
1942216767
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
V05984 Issued in FL
Practice address
5323 Main St
New Port Richey, FL 34652-2510
Phone
(727) 807-7020
Fax
(727) 807-7021
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X V05984 FL Primary

Addresses

Primary practice location

5323 Main St
New Port Richey, FL 34652-2510

Mailing address

5323 Main St
New Port Richey, FL 34652-2510
Phone (727) 807-7020

Other practice location 1

4900 US Highway 19
New Port Richey, FL 34652-4251
Phone (727) 807-7020 ext. 109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050819000501 FL Practitioner - Chiropractic 6709816655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4900 US Hwy 19
New Port Richey, FL 34652-4251
Phone (727) 807-7020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
V05984FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Core Chiropractic and Wellness, LLC Chiropractor CurrentSince Jul 26, 2010 Accepting new patients
Preventative Medical & Rehab, Inc PastSince Jul 26, 2010 Accepting new patients
Suncoast Total Healthcare LLC Past Accepting new patients
Total Vitality Medical Group, LLC Chiropractor Past Accepting new patients

Locations

4900 US Highway 19
New Port Richey, FL 34652
Phone (727) 807-7020

5323 Main St
New Port Richey, FL 34652
Phone (727) 807-7020

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1942216767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 MAIN ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522510",
            "telephone_number": "727-807-7020",
            "fax_number": "727-807-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 MAIN ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522510",
            "telephone_number": "727-807-7020",
            "fax_number": "727-807-7021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 US Highway 19",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346524251",
            "country_code": "US",
            "telephone_number": "727-807-7020 x109",
            "fax_number": "727-807-7021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTEMAYOR",
        "first_name": "VIVIAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "V05984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.