Active NPI
Sinclair Chiropractic Clinic PC
- Chiropractor
- Bradford, VT
National Provider Identifier
1205817954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0060000866
- Legal business name
- SINCLAIR CHIROPRACTIC CLINIC PC
- Practice address
- 183 N Main St
Bradford, VT 05033-0926 - Phone
- (802) 222-5383
- Fax
- (802) 222-4230
- NPI assigned
- Nov 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marc William Sinclair, DC
- Title
- Owner
- Phone
- (802) 222-5383
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0060000866 | VT | Primary |
Addresses
Primary practice location
183 N Main St
Bradford, VT 05033-0926
Mailing address
PO Box 926
Bradford, VT 05033-0926
Phone (802) 222-5383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080131000084 | VT | Part B Supplier - Clinic/Group Practice | 3577645464 |
Receives reassigned benefits from 1 practitioner Practice locations: Bradford, VT |
National Provider Directory
National Provider DirectoryPractitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Bradford, VT
- NPI 1184809675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217894400000",
"number": "1205817954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 926",
"city": "BRADFORD",
"state": "VT",
"postal_code": "050330926",
"telephone_number": "802-222-5383",
"fax_number": "802-222-4230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 N MAIN ST",
"city": "BRADFORD",
"state": "VT",
"postal_code": "050330926",
"telephone_number": "802-222-5383",
"fax_number": "802-222-4230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SINCLAIR CHIROPRACTIC CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-09",
"last_updated": "2008-08-05",
"status": "A",
"authorized_official_last_name": "SINCLAIR",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "802-222-5383",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "VT",
"license": "0060000866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradford, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.