Individual provider Active NPI

Angela Elaine Vik, D.C.

  • Chiropractor
  • Pueblo West, CO
National Provider Identifier
1982738704
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4489 Issued in CO
Practice address
171 S Purcell Blvd
Pueblo West, CO 81007-5081
Phone
(719) 547-1979
Fax
(719) 547-7336
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4489 CO Primary

Addresses

Primary practice location

171 S Purcell Blvd
Pueblo West, CO 81007-5081

Mailing address

171 S Purcell Blvd
Pueblo West, CO 81007-5081
Phone (719) 547-1979

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090129000595 CO Practitioner - Chiropractic 8123918992 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1982738704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 S PURCELL BLVD",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075081",
            "telephone_number": "719-547-1979",
            "fax_number": "719-547-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 S PURCELL BLVD",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075081",
            "telephone_number": "719-547-1979",
            "fax_number": "719-547-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIK",
        "first_name": "ANGELA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo West, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.