Organization Active NPI

Windsor Chiropractic Associates

  • Chiropractor
  • Windsor, VT
National Provider Identifier
1417277674
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
600.0001190 Issued in VT
Legal business name
WINDSOR CHIROPRACTIC ASSOCIATES
Practice address
15 State St
Windsor, VT 05089-1201
Phone
(802) 674-5001
Fax
(802) 674-5001
NPI assigned
Jun 10, 2010
Last updated
Dec 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Dr. Jay Cooke McClure, DC
Title
Owner
Phone
(802) 674-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 600.0001190 VT Primary

Addresses

Primary practice location

15 State St
Windsor, VT 05089-1201

Mailing address

15 State St
Windsor, VT 05089-1201
Phone (802) 674-5001

Other identifiers 1

IdentifierTypeStateIssuer
1255404133OtherVTNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1417277674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 STATE ST",
            "city": "WINDSOR",
            "state": "VT",
            "postal_code": "050891201",
            "telephone_number": "802-674-5001",
            "fax_number": "802-674-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STATE ST",
            "city": "WINDSOR",
            "state": "VT",
            "postal_code": "050891201",
            "telephone_number": "802-674-5001",
            "fax_number": "802-674-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR CHIROPRACTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "COOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-674-5001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "600.0001190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255404133",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.