Individual provider Active NPI

Steven C. Drebber, D.C.

  • Chiropractor
  • Woodstock, VT
National Provider Identifier
1336264407
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006-0000939 Issued in VT
Practice address
32 Pleasant St
Woodstock, VT 05091-1122
Phone
(802) 457-3355
Fax
(802) 457-3062
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006-0000939 VT Primary

Addresses

Primary practice location

32 Pleasant St
Woodstock, VT 05091-1122

Mailing address

32 Pleasant St
Woodstock, VT 05091-1122
Phone (802) 457-3355

Other identifiers 2

IdentifierTypeStateIssuer
0502679Y0VT02OtherVTBCBSNH
19484OtherVTBCBSVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006-0000939VTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336264407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PLEASANT ST",
            "city": "WOODSTOCK",
            "state": "VT",
            "postal_code": "050911122",
            "telephone_number": "802-457-3355",
            "fax_number": "802-457-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PLEASANT ST",
            "city": "WOODSTOCK",
            "state": "VT",
            "postal_code": "050911122",
            "telephone_number": "802-457-3355",
            "fax_number": "802-457-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREBBER",
        "first_name": "STEVEN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006-0000939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNH",
            "identifier": "0502679Y0VT02",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSVT",
            "identifier": "19484",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, VT

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.