Individual provider Active NPI

William J Schenck, DC

  • Rehabilitation Chiropractor
  • Williston, VT
National Provider Identifier
1124162367
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
006-0000870 Issued in VT
Practice address
205 Cornerstone Dr
Williston, VT 05495-4035
Phone
(802) 878-8330
Fax
(802) 878-8344
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 006-0000870 VT
Nutrition Chiropractor 111NN1001X 006-0000870 VT
Rehabilitation Chiropractor 111NR0400X 006-0000870 VT Primary

Addresses

Primary practice location

205 Cornerstone Dr
Williston, VT 05495-4035

Mailing address

PO Box 979
Williston, VT 05495-0979
Phone (802) 878-8330

Other identifiers 4

IdentifierTypeStateIssuer
SCH00018942OtherVTBCBS
03036OtherVTCBA
80705OtherVTGREAT WEST
T87083OtherVTCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060315000540 VT Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 2062429004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
National College of Chiropractic, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

205 Cornerstone Dr
Williston, VT 05495-4035
Phone (802) 878-8330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006-0000870VTMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vizuri Health Center PC Neurology CurrentSince Jan 1, 2009 Accepting new patients
University of Vermont Medical Center Inc PastSince Jan 1, 2009 Accepting new patients

Locations

205 Cornerstone Dr
Williston, VT 05495
Phone (802) 878-8330

Organizations & group practices 2

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1124162367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 979",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054950979",
            "telephone_number": "802-878-8330",
            "fax_number": "802-878-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CORNERSTONE DR",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054954035",
            "telephone_number": "802-878-8330",
            "fax_number": "802-878-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENCK",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "VT",
            "license": "006-0000870",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "VT",
            "license": "006-0000870",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VT",
            "license": "006-0000870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "SCH00018942",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBA",
            "identifier": "03036",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "80705",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "T87083",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

Verify at the official NPI Registry.