NPIMap

Organization Active NPI

Dr. John F. Guerriere PC

  • Chiropractor
  • Shelburne, VT
National Provider Identifier
1639439722
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006 0000821 Issued in VT
Legal business name
DR. JOHN F. GUERRIERE PC
Practice address
3240 Shelburne Rd
Suite 3
Shelburne, VT 05482-6374
Phone
(802) 985-8130
Fax
(802) 985-1297
NPI assigned
May 22, 2012
Organization subpart
No

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120703000233 VT Part B Supplier - Clinic/Group Practice 9830354554 Receives reassigned benefits from 1 practitioner
Practice locations: Shelburne, VT

National Provider Directory

National Provider Directory

Locations

3240 Shelburne Rd
Ste 3
Shelburne, VT 05482
Phone (802) 985-8130

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Dr. John F. Guerriere, DCNPI 1396826004
Title
President
Phone
(802) 985-8130

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006 0000821 VT Primary

Addresses

Primary practice location

3240 Shelburne Rd
Suite 3
Shelburne, VT 05482-6374

Mailing address

3240 Shelburne Rd
Suite 3
Shelburne, VT 05482-6374
Phone (802) 985-8130

Other identifiers 3

IdentifierTypeStateIssuer
68542OtherVTBCBS
0009595MedicaidVT
1021224MedicaidVT

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1639439722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 SHELBURNE RD",
            "address_2": "SUITE 3",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054826374",
            "telephone_number": "802-985-8130",
            "fax_number": "802-985-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 SHELBURNE RD",
            "address_2": "SUITE 3",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054826374",
            "telephone_number": "802-985-8130",
            "fax_number": "802-985-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN F. GUERRIERE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "GUERRIERE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-985-8130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006 0000821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "68542",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009595",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021224",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelburne, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.