Organization Active NPI

Mountainview Chiropractic and Kinesiology

  • Chiropractor
  • Danville, VT
National Provider Identifier
1710023460
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0060001116 Issued in VT
Legal business name
MOUNTAINVIEW CHIROPRACTIC AND KINESIOLOGY
Practice address
32 Hill Street
Danville, VT 05828
Phone
(802) 684-9707
Fax
(802) 684-9707
NPI assigned
Jan 29, 2007
Last updated
Dec 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Dr. Jeremy Ste Marie, DCNPI 1588841852
Title
Owner
Phone
(802) 684-9707

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 0060001116 VT Primary

Addresses

Primary practice location

32 Hill Street
Danville, VT 05828

Mailing address

PO Box 298 32 Hill Street
Danville, VT 05828
Phone (802) 684-9707

Other identifiers 5

IdentifierTypeStateIssuer
DANV59218 59219OtherBC BS
05400894VT01OtherBC BS OF NH
674860OtherCIGNA
24571104OtherCBA
5705962OtherFIRST HEALTH

Other names 1

  • Dr Jeremy Ste Marie DC PC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080829000325 VT Part B Supplier - Clinic/Group Practice 5395811244 Receives reassigned benefits from 3 practitioners
Practice locations: Danville, VT

National Provider Directory

National Provider Directory

Locations

32 Hill St
Danville, VT 05828
Phone (802) 684-9707

Practitioners & affiliated clinicians

Practitioners 4

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1710023460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298 32 HILL STREET",
            "city": "DANVILLE",
            "state": "VT",
            "postal_code": "05828",
            "telephone_number": "802-684-9707",
            "fax_number": "802-684-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HILL STREET",
            "city": "DANVILLE",
            "state": "VT",
            "postal_code": "05828",
            "telephone_number": "802-684-9707",
            "fax_number": "802-684-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINVIEW CHIROPRACTIC AND KINESIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "STE MARIE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-684-9707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "0060001116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "DANV59218 59219",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF NH",
            "identifier": "05400894VT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "674860",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBA",
            "identifier": "24571104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5705962",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Jeremy Ste Marie DC PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Danville, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.