Individual provider Active NPI

Jared Galster, D.C.

  • Chiropractor
  • Rutland, VT
National Provider Identifier
1497087159
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006.0072505 Issued in VT
Practice address
90 Mahoney Ave
Rutland, VT 05701-4836
Phone
(802) 773-0010
Fax
(802) 773-0010
NPI assigned
Feb 5, 2010
Last updated
Aug 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006.0072505 VT Primary

Addresses

Primary practice location

90 Mahoney Ave
Rutland, VT 05701-4836

Mailing address

90 Mahoney Ave
Rutland, VT 05701-4836
Phone (802) 773-0010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110914000333 VT Practitioner - Chiropractic 0840461398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

90 Mahoney Ave
Rutland, VT 05701-4836
Phone (802) 773-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006.0072505VTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Source Chiropractic Inc. Chiropractor CurrentSince Jan 1, 2012 Accepting new patients

Locations

231 S Main St
Rutland, VT 05701
Phone (802) 345-2343

90 Mahoney Ave
Rutland, VT 05701
Phone (802) 773-0010

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1497087159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MAHONEY AVE",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014836",
            "telephone_number": "802-773-0010",
            "fax_number": "802-773-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAHONEY AVE",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014836",
            "telephone_number": "802-773-0010",
            "fax_number": "802-773-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALSTER",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-05",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006.0072505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.