Individual provider Active NPI

Thayer Osborne, D.C.

  • Chiropractor
  • Bristol, VT
National Provider Identifier
1174600050
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006-0001184 Issued in VT
Practice address
14 School St
Box 6
Bristol, VT 05443-1210
Phone
(802) 453-5588
Fax
(802) 453-7878
NPI assigned
Oct 31, 2006
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 60001148 VT
Chiropractor 111N00000X 006-0001184 VT Primary

Addresses

Primary practice location

14 School St
Box 6
Bristol, VT 05443-1210

Mailing address

14 School St Ste 101
Bristol, VT 05443-1210
Phone (802) 453-5588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050128000900 VT Practitioner - Chiropractic 5991755787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 School St
Suite 101
Bristol, VT 05443-1210
Phone (802) 453-5588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006-0001184VTMDChiropractor
60001148VTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health & Wellness PC Chiropractor CurrentSince Jan 1, 2008 Accepting new patients

Locations

14 School St
#105
Bristol, VT 05443
Phone (802) 453-5588

14 School St
Ste 101
Bristol, VT 05443
Phone (802) 453-5588

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1174600050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SCHOOL ST STE 101",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054431210",
            "telephone_number": "802-453-5588",
            "fax_number": "802-453-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SCHOOL ST",
            "address_2": "BOX 6",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054431210",
            "telephone_number": "802-453-5588",
            "fax_number": "802-453-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "THAYER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "60001148",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006-0001184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.