Individual provider Active NPI

Kathleen Pinkus, D.C.

  • Chiropractor
  • Manchester, VT
National Provider Identifier
1710046040
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006-0001092 Issued in VT
Practice address
3724 Main Street
Manchester, VT 05254
Phone
(802) 362-7512
NPI assigned
Dec 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006-0001092 VT Primary

Addresses

Primary practice location

3724 Main Street
Manchester, VT 05254

Mailing address

P.O.Box 1428
Manchester, VT 05255-1428
Phone (802) 362-7512

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000114 VT Practitioner - Chiropractic 2860419686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Pinkus Family ChiropracticGroup PAC ID 8224055041, 2 clinicians

Practice addresses (Care Compare)

3724 Main St
Manchester, VT 05254-4106
Phone (802) 362-7512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006-0001092VTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pinkus Family Chiropractic Chiropractor CurrentSince Oct 7, 2002 Accepting new patients

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710046040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 1428",
            "city": "MANCHESTER",
            "state": "VT",
            "postal_code": "052551428",
            "telephone_number": "802-362-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 MAIN STREET",
            "city": "MANCHESTER",
            "state": "VT",
            "postal_code": "05254",
            "telephone_number": "802-362-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKUS",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006-0001092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.