Active NPI
William J Schenck, DC
- Rehabilitation Chiropractor
- Williston, VT
National Provider Identifier
1124162367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 006-0000870
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SCH00018942 | Other | VT | BCBS |
| 03036 | Other | VT | CBA |
| 80705 | Other | VT | GREAT WEST |
| T87083 | Other | VT | CIGNA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 006-0000870 | VT | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vizuri Health Center PC | Neurology | Current | Accepting new patients |
| University of Vermont Medical Center Inc | Past | 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.
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.