Vital Energy

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2626 Issued in SC

Legal business name

VITAL ENERGY

Practice address

1812 Augusta Hwy Ste L
Lexington, SC 29072-1915

Phone

(803) 233-3049

Fax

(203) 233-9201

NPI assigned

Sep 14, 2007

Organization subpart

No

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

Authorized official

Name

Hima N Dalal, OT

Title

Owner

Phone

(803) 233-3049

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1962697771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CLEARVIEW DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 AUGUSTA HWY STE L",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290721915",
            "telephone_number": "803-233-3049",
            "fax_number": "203-233-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL ENERGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "DALAL",
        "authorized_official_first_name": "HIMA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-233-3049",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "2626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Charles Vilord
• Roberta P Vining, RPH
• Viphealth LLC
• Virtual Neurology, LLC
• Vital Chiropractic LLC
• Vital Energy Occ Therapy & Wellness Ctr LLC
• Vital Nutrition & Chiropractic LLC
• Allyson Taylor Von Kannel, CPNP-PC
• Jenny Vonkeller
• Gina Decker Votion, LISWCP

• Clinic/Center in Lexington, SC
• Providers in Lexington, SC by specialty
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.