Organization Active NPI

Vermont Back and Body Care, LLC

  • Chiropractor
  • Montpelier, VT
National Provider Identifier
1548687502
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006.0001133 Issued in VT
Legal business name
VERMONT BACK AND BODY CARE, LLC
Practice address
338 River St
Suite #8
Montpelier, VT 05602-8242
Phone
(802) 225-8958
Fax
(802) 225-8969
NPI assigned
Mar 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Dr. Heather Lane Connolly, D.C.
Title
Owner
Phone
(802) 225-8958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006.0001133 VT Primary

Addresses

Primary practice location

338 River St
Suite #8
Montpelier, VT 05602-8242

Mailing address

338 River St
Suite #8
Montpelier, VT 05602-8242
Phone (802) 225-8958

Other identifiers 1

IdentifierTypeStateIssuer
0VN3297MedicaidVT

National Provider Directory

National Provider Directory

Locations

338 River St
Unit 8
Montpelier, VT 05602
Phone (802) 225-8658

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1548687502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 RIVER ST",
            "address_2": "SUITE #8",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056028242",
            "telephone_number": "802-225-8958",
            "fax_number": "802-225-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 RIVER ST",
            "address_2": "SUITE #8",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056028242",
            "telephone_number": "802-225-8958",
            "fax_number": "802-225-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT BACK AND BODY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-225-8958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006.0001133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN3297",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.