Organization Active NPI

Nicholas Cannon DC PC

  • Chiropractor
  • Middlebury, VT
National Provider Identifier
1538879945
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NICHOLAS CANNON DC PC
Practice address
152 Maple St Ste 302
Middlebury, VT 05753-1168
Phone
(802) 342-1790
NPI assigned
Nov 28, 2022
Last updated
Nov 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Dr. Nicholas Cannon, DCNPI 1639123565
Title
Chiropractor, Owner
Phone
(802) 324-1790

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

152 Maple St Ste 302
Middlebury, VT 05753-1168

Mailing address

152 Maple St Ste 302
Middlebury, VT 05753-1168
Phone (802) 342-1790

National Provider Directory

National Provider Directory

Locations

152 Maple St
Ste 302
Middlebury, VT 05753
Phone (802) 377-3177

Practitioners & affiliated clinicians

Practitioners 1

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": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1538879945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 MAPLE ST STE 302",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531168",
            "telephone_number": "802-342-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MAPLE ST STE 302",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531168",
            "telephone_number": "802-342-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS CANNON DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CHIROPRACTOR, OWNER",
        "authorized_official_telephone_number": "802-324-1790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.