VITAL ENERGY CHIROPRACTIC, PC (NPI# 1689801276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689801276 |
| Entity Type | Organization |
| Organization Name | VITAL ENERGY CHIROPRACTIC, PC |
| Other Organization Name | VITAL ENERGY WELLNESS & CHIROPRACTIC CENTER, INC. |
| Practice Address |
6355 Ward Rd Suite 420 Arvada CO 80004-3819 |
| Mailing Address |
Po Box 686 Golden CO 80402-0686 |
| Practice Telephone | 3034639395 |
| Practice Fax Number | 3034034219 |
| Mailing Telephone | 3034639395 |
| Mailing Fax Number | 3034034219 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-12-18 |
| Authorized Official Name | DR. HOMER G. WALL (OWNER) |
| Authorized Official Telephone | 3034639395 |
| Authorized Official Credential | D,C, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2073 | CO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | INDIVIDUAL NPI | 1518140029 | 01 |
| Other Name | Type Code |
|---|---|
| Vital Energy Wellness & Chiropractic Center, Inc. | Other Name - Individual/Organization |
| Street Address |
6355 WARD RD SUITE 420 |
| City | ARVADA |
| State | CO |
| Zip Code | 80004-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780665570 | James R Holmes | Dentist | 6355 Ward Rd, 410, Arvada, CO 80004-3821 | 2005-11-08 |
| 1518140029 | Homer G Wall | Chiropractor | 6355 Ward Rd, Suite 420, Arvada, CO 80004-3819 | 2007-12-07 |
| 1689867228 | Daren Lee Mairs | Dentist | 6355 Ward Rd, Suite 201, Arvada, CO 80004 | 2007-08-27 |
| 1962609404 | Nichole Janine Mairs | Dentist | 6355 Ward Rd, Suite 201, Arvada, CO 80004 | 2007-06-28 |
| 1184784266 | Veronica Elaine Hoegler | Psychologist | 6355 Ward Rd, #209, Arvada, CO 80004-3819 | 2006-12-11 |
| 1942286166 | Robert D Olson | Dentist | 6355 Ward Rd, 201, Arvada, CO 80004-3821 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503194 | Flynn Behavior Associates | Behavioral Analyst | 13185 W 62nd Place, Arvada, CO 80004 | 2019-02-06 |
| 1124543384 | Zoe Denver Nelson | Counselor | 9850 W 59th Pl, Arvada, CO 80004 | 2017-08-09 |
| 1982134573 | Cynthia Jean Keefover | Physical Therapy Assistant | 6625 Union St, Arvada, CO 80004 | 2017-06-15 |
| 1235680257 | Uma Sitaula | Nurse Practitioner | 12650 W 64th Ave Unit E 105, Arvada, CO 80004 | 2016-10-14 |
| 1124494091 | Alan Ross Hofman | Physical Therapist | 5945 Ward Rd Ste 110, Arvada, CO 80004 | 2015-08-14 |
| 1770969917 | Jennifer Lynn Johnson | Day Training/Habilitation Specialist | 6725 Yarrow St., Arvada, CO 80004 | 2015-08-10 |
| 1649680414 | Johanna Meister | Community Health Worker | 7603 Robinson Way, Arvada, CO 80004 | 2014-05-02 |
| 1922346915 | Ashley L Saylor | Chiropractor | 10050 Ralston Rd. Suite E, Arvada, CO 80004 | 2013-01-25 |
| 1225382906 | Alison Schut | Nurse Practitioner | 12650 W 64th Ave Ste E501, Arvada, CO 80004 | 2012-11-02 |
| 1881984102 | Green Leaf Massage Center. LLC | Health Maintenance Organization | 11890 W.64th Avenue, Arvada, CO 80004 | 2011-04-08 |
| Find all providers in zip 80004 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194193391 | Joshua Katcher | Chiropractor | 8390 W 87th Dr Apt B, Arvada, CO 80005-4826 | 2015-09-04 |
| 1205263001 | Elite Performance Chiropractic, Pllc | Chiropractor | 16255 W 64th Ave, Unit 3, Arvada, CO 80007-7400 | 2013-10-11 |
| 1922346915 | Ashley L Saylor | Chiropractor | 10050 Ralston Rd. Suite E, Arvada, CO 80004 | 2013-01-25 |
| 1316281025 | Jamie C Zajac | Chiropractor | 8123 W 51st Pl, Unit 304, Arvada, CO 80002-4350 | 2012-11-19 |
| 1104185974 | Julie Henderson | Chiropractor | 7878 Wadsworth Blvd Ste 200, Arvada, CO 80003-2121 | 2012-05-14 |
| 1811267669 | Michael Louis Viscarelli | Chiropractor | 7450 W 52nd Ave # 332, Arvada, CO 80002-3747 | 2012-01-11 |
| 1255639092 | Thomas H Caley V | Chiropractor | 9972 W 86th Ave, Arvada, CO 80005-1258 | 2011-03-03 |
| 1437463320 | Steven D. Walker | Chiropractor | 7597 W 66th Ave, Ste. 201, Arvada, CO 80003-3963 | 2010-08-03 |
| 1356654370 | Center for Chiropractic Healing Pllc | Chiropractor | 9428 W 58th Ave, Arvada, CO 80002-2004 | 2010-07-19 |
| 1700115953 | Vitality Chiropractic, Inc. | Chiropractor | 8640 Jellison St, Arvada, CO 80005-5185 | 2009-12-17 |
| Find all providers in ARVADA | ||||
Please comment or provide details below to improve the information on VITAL ENERGY CHIROPRACTIC, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.