Organization Active NPI

Back to Health Family Chiropractic, P.C.

  • Chiropractor
  • Saint Albans, VT
National Provider Identifier
1326360272
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
VT982 Issued in VT
Legal business name
BACK TO HEALTH FAMILY CHIROPRACTIC, P.C.
Practice address
387 Lake Rd Ste 3
Saint Albans, VT 05478-2268
Phone
(802) 527-2225
Fax
(802) 527-2013
NPI assigned
Feb 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Dr. Maureen Ann Keefe, D.C.
Title
President
Phone
(802) 527-2225

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X VT982 VT Primary
Nutrition ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN1001X VT982 VT
Thermography ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NT0100X VT 982 VT

Addresses

Primary practice location

387 Lake Rd Ste 3
Saint Albans, VT 05478-2268

Mailing address

387 Lake Rd Ste 3
Saint Albans, VT 05478-2268
Phone (802) 527-2225

Other identifiers 1

IdentifierTypeStateIssuer
OVN 1419MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100729000703 VT Part B Supplier - Clinic/Group Practice 2264565118 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Albans, VT

National Provider Directory

National Provider Directory

Locations

387 Lake Rd
#3
Saint Albans, VT 05478
Phone (802) 527-2225

Practitioners & affiliated clinicians

Practitioners 2

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": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1326360272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 LAKE RD STE 3",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054782268",
            "telephone_number": "802-527-2225",
            "fax_number": "802-527-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 LAKE RD STE 3",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054782268",
            "telephone_number": "802-527-2225",
            "fax_number": "802-527-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "KEEFE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-527-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "VT982",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "VT",
            "license": "VT982",
            "primary": false
        },
        {
            "code": "111NT0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Thermography",
            "state": "VT",
            "license": "VT 982",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN 1419",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.