Organization Active NPI

C3, Inc

Doing business as Vital Wellness Chiropractic

  • Nutrition Chiropractor
  • Sioux City, IA
National Provider Identifier
1982896353
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
06891 Issued in IA
Legal business name
C3, INC
Doing business as
Vital Wellness Chiropractic
Practice address
2601 Apache CT
Sioux City, IA 51104-1504
Phone
(712) 277-9355
Fax
(712) 277-9366
NPI assigned
Aug 9, 2007
Last updated
Jul 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Authorized official

Name
Mark Pierre Chartier
Title
Managing Partner
Phone
(712) 277-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 06891 IA Primary

Addresses

Primary practice location

2601 Apache CT
Sioux City, IA 51104-1504

Mailing address

2601 Apache CT
Sioux City, IA 51104-1504
Phone (712) 277-9355

Other identifiers 4

IdentifierTypeStateIssuer
1316955594OtherIANPI SEAN E. CHARTIER D.C.
0497446MedicaidIA
1982896353OtherIAGROUP NPI 1982896353
I21041OtherIAGROUP PTAN

Other names 1

  • Vital Wellness Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070927000525 IA Part B Supplier - Clinic/Group Practice 8426143041 Receives reassigned benefits from 1 practitioner
Practice locations: Sioux City, IA

National Provider Directory

National Provider Directory

Locations

1600 7th St
Ste D
Sioux City, IA 51101
Phone (712) 277-9355

2601 Apache Ct
Sioux City, IA 51104
Phone (712) 239-1111

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1982896353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 APACHE CT",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041504",
            "telephone_number": "712-277-9355",
            "fax_number": "712-277-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 APACHE CT",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041504",
            "telephone_number": "712-277-9355",
            "fax_number": "712-277-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C3, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2021-07-23",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "CHARTIER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "PIERRE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "712-277-9355"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "IA",
            "license": "06891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI SEAN E. CHARTIER D.C.",
            "identifier": "1316955594",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0497446",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI 1982896353",
            "identifier": "1982896353",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "I21041",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Wellness Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vital Wellness Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.