NPIMap

Organization Active NPI

Performance Chiropractic

  • Chiropractor
  • Essex Junction, VT
National Provider Identifier
1396903795
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006-0001086 Issued in VT
Legal business name
PERFORMANCE CHIROPRACTIC
Practice address
131 Pearl St
Essex Junction, VT 05452-3626
Phone
(802) 878-4946
Fax
(802) 878-9625
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Katherine Lee Wiebe, DCNPI 1710929013
Title
Owner
Phone
(802) 878-4946

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 006-0001086 VT Primary
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X 006-0001098 VT

Addresses

Primary practice location

131 Pearl St
Essex Junction, VT 05452-3626

Mailing address

131 Pearl St
Essex Junction, VT 05452-3626
Phone (802) 878-4946

Other identifiers 1

IdentifierTypeStateIssuer
WI VN2700MedicaidVT

National Provider Directory

National Provider Directory

Locations

131 Pearl St
Essex Junction, VT 05452
Phone (802) 878-4946

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1396903795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 PEARL ST",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523626",
            "telephone_number": "802-878-4946",
            "fax_number": "802-878-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PEARL ST",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523626",
            "telephone_number": "802-878-4946",
            "fax_number": "802-878-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "WIEBE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-878-4946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006-0001086",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "VT",
            "license": "006-0001098",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WI VN2700",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.