Individual provider Active NPI

Charles Vanchiere, DC

  • Chiropractor
  • Provo, UT
National Provider Identifier
1972962173
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
96481091202 Issued in UT
Practice address
3325 N University Ave Ste 125
Provo, UT 84604-6615
Phone
(801) 374-2774
NPI assigned
Feb 16, 2016
Last updated
Feb 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 96481091202 UT Primary

Addresses

Primary practice location

3325 N University Ave Ste 125
Provo, UT 84604-6615

Mailing address

3325 N University Ave Ste 125
Provo, UT 84604-6615
Phone (801) 374-2774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
96481091202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Vitality Chiropractor Current Accepting new patients

Locations

3325 N University Ave
Ste 125
Provo, UT 84604
Phone (801) 374-2774

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1972962173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 N UNIVERSITY AVE STE 125",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046615",
            "telephone_number": "801-374-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 N UNIVERSITY AVE STE 125",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046615",
            "telephone_number": "801-374-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCHIERE",
        "first_name": "CHARLES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "96481091202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.