Organization Active NPI

Sinclair Chiropractic Clinic PC

  • Chiropractor
  • Bradford, VT
National Provider Identifier
1205817954
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0060000866 Issued in VT
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

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Marc William Sinclair, DCNPI 1184809675
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20080131000084 VT Part B Supplier - Clinic/Group Practice 3577645464 Receives reassigned benefits from 1 practitioner
Practice locations: Bradford, VT

National Provider Directory

National Provider Directory

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.