Raymond Joseph Vanvoorhis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

774 Issued in VT

Practice address

104 S Main St
Waterbury, VT 05676-1561

Phone

(802) 244-7336

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194941971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S MAIN ST",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761561",
            "telephone_number": "802-244-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S MAIN ST",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761561",
            "telephone_number": "802-244-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVOORHIS",
        "first_name": "RAYMOND",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Albin Sturm, R.PH.
• Donald R Swartz, MD
• Nicole Ryann Tessier, MSW, LICSW
• The Squier House, Inc.
• Kathryn Theisen
• Vasta PT Waterbury LLC
• Vincents Rexall Drugs Inc
• Vocational Rehabiliation Vermont
• Waterbury Eye Care Center, PLC
• Waterbury Family Dentistry, PLC

• Chiropractor in Waterbury, VT
• Providers in Waterbury, VT by specialty
• Chiropractor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.