Integrated Medicine: Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006-0001191 Issued in VT

Legal business name

INTEGRATED MEDICINE: CHIROPRACTIC LLC

Practice address

1641 Route 7 S
Middlebury, VT 05753-8806

Phone

(802) 458-0488

Fax

(802) 458-0489

NPI assigned

Mar 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Cannon, DC

Title

Owner/

Phone

(802) 458-0488

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1114226743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 705",
            "city": "EAST MIDDLEBURY",
            "state": "VT",
            "postal_code": "057400705",
            "telephone_number": "802-458-0488",
            "fax_number": "802-458-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 ROUTE 7 S",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057538806",
            "telephone_number": "802-458-0488",
            "fax_number": "802-458-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICINE: CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER/",
        "authorized_official_telephone_number": "802-458-0488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006-0001191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015096",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hollister Hunt
• Cheryl Lynn Huntley, LICSW
• Grace Hurwitz, DNP, APRN
• Jessica Ingalls
• Integrated Medicine Naturopathic Primary Care
• Samantha Kay Isenberger, MASSAGE THERAPIST
• James G Daly D.D.S.
• Alicia James, PT. DPT
• Gabrielle Jensen, MSW
• Robert Charles Jimerson, M.D.

• Chiropractor in Middlebury, VT
• Providers in Middlebury, VT by specialty
• Chiropractor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.