Vy Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VY CHIROPRACTIC, INC

Doing business as

Revive Chiropractic Group

Practice address

13071 Brookhurst St Ste 110
Garden Grove, CA 92843-1047

Phone

(657) 229-5494

Fax

(714) 888-7992

NPI assigned

May 3, 2022

Organization subpart

No

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

Authorized official

Name

Dr. William Vy, DCNPI 1356831663

Title

Ceo

Phone

(657) 400-5248

Specialties & licenses 1

Addresses

Other names 1

• Revive Chiropractic Group Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Vy, DC

  • Chiropractor
  • Fountain Valley, CA
  • NPI 1356831663
  NPD Authorized official

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1982349007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13071 BROOKHURST ST STE 110",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431047",
            "telephone_number": "657-400-5248",
            "fax_number": "714-888-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13071 BROOKHURST ST STE 110",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431047",
            "telephone_number": "657-229-5494",
            "fax_number": "714-888-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VY CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "VY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "657-400-5248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Chiropractic Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Revive Chiropractic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.