Individual provider Active NPI

Roseanne Marie Dennan, DC

  • Chiropractor
  • Manchester Center, VT
National Provider Identifier
1255404109
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
060000949 Issued in VT
Practice address
19 Green Mountain Road
Manchester Center, VT 05255
Phone
(802) 362-3040
Fax
(802) 362-2811
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 060000949 VT Primary

Addresses

Primary practice location

19 Green Mountain Road
Manchester Center, VT 05255

Mailing address

PO Box 1228
Manchester Center, VT 05255
Phone (802) 362-3040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050808000933 VT Practitioner - Chiropractic 7012946288 Practice locations: Manchester Center, VT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19 Green Mountain Rd
Manchester Center, VT 05255-9791
Phone (802) 362-3040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
060000949VTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling for Solutions, LLC PastSince May 8, 2022 Accepting new patients
Chiropractic Care Center Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1255404109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1228",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "05255",
            "telephone_number": "802-362-3040",
            "fax_number": "802-362-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 GREEN MOUNTAIN ROAD",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "05255",
            "telephone_number": "802-362-3040",
            "fax_number": "802-362-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNAN",
        "first_name": "ROSEANNE",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "060000949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester Center, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.