Individual provider Active NPI

Charles Vartanian, D.C.

  • Chiropractor
  • Morrisville, VT
National Provider Identifier
1164547576
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0060000747 Issued in VT
Practice address
65 Northgate PLZ
Suite #10
Morrisville, VT 05661-5900
Phone
(802) 888-5222
Fax
(802) 888-5223
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0060000747 VT Primary

Addresses

Primary practice location

65 Northgate PLZ
Suite #10
Morrisville, VT 05661-5900

Mailing address

65 Northgate PLZ
Suite #10
Morrisville, VT 05661-5900
Phone (802) 888-5222

Other identifiers 2

IdentifierTypeStateIssuer
0009615MedicaidVT
8725OtherVTVT BLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0060000747VTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164547576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 NORTHGATE PLZ",
            "address_2": "SUITE #10",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056615900",
            "telephone_number": "802-888-5222",
            "fax_number": "802-888-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 NORTHGATE PLZ",
            "address_2": "SUITE #10",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056615900",
            "telephone_number": "802-888-5222",
            "fax_number": "802-888-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARTANIAN",
        "first_name": "CHARLES",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "0060000747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009615",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VT BLUE CROSS BLUE SHIELD",
            "identifier": "8725",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.