Individual provider Active NPI

Vernon R Temple, DC

  • Chiropractor
  • Bellows Falls, VT
National Provider Identifier
1124056825
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006-0000655 Issued in VT
Practice address
102 Saxtons River Road
Bellows Falls, VT 05101
Phone
(802) 463-9522
Fax
(802) 463-1957
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006-0000655 VT Primary

Addresses

Primary practice location

102 Saxtons River Road
Bellows Falls, VT 05101

Mailing address

633 Route 121
102 Saxtons River Rd
Bellows Falls, VT 05101-1632
Phone (802) 463-9522

Other identifiers 1

IdentifierTypeStateIssuer
0008772MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071227000206 VT Practitioner - Chiropractic 8729178017 Receives reassigned benefits from 1 practitioner
Practice locations: Bellows Falls, VT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006-0000655VTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Venerable Chiropractic PLLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

633 Route 121
Bellows Falls, VT 05101
Phone (802) 463-9522

633 Route 121
#102
Bellows Falls, VT 05101

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1124056825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 ROUTE 121",
            "address_2": "102 SAXTONS RIVER RD",
            "city": "BELLOWS FALLS",
            "state": "VT",
            "postal_code": "051011632",
            "telephone_number": "802-463-9522",
            "fax_number": "802-463-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SAXTONS RIVER ROAD",
            "city": "BELLOWS FALLS",
            "state": "VT",
            "postal_code": "05101",
            "telephone_number": "802-463-9522",
            "fax_number": "802-463-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "VERNON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006-0000655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008772",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellows Falls, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.