Individual provider Active NPI

Miles K Colaprete, DC

  • Sports Physician Chiropractor
  • Shelburne, VT
National Provider Identifier
1720384159
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
006.0091379 Issued in VT
Practice address
4066 Shelburne Rd
Ste #8
Shelburne, VT 05482-6905
Phone
(802) 985-5833
NPI assigned
Feb 2, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X X012130 NY
Sports Physician Chiropractor 111NS0005X 006.0091379 VT Primary

Addresses

Primary practice location

4066 Shelburne Rd
Ste #8
Shelburne, VT 05482-6905

Mailing address

4066 Shelburne Rd
Ste #8
Shelburne, VT 05482-6905
Phone (802) 985-5833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X012130NYMDSports Physician Chiropractor
006.0091379VTMDSports Physician Chiropractor

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": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1720384159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 SHELBURNE RD",
            "address_2": "STE #8",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054826905",
            "telephone_number": "802-985-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 SHELBURNE RD",
            "address_2": "STE #8",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054826905",
            "telephone_number": "802-985-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAPRETE",
        "first_name": "MILES",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-02",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X012130",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VT",
            "license": "006.0091379",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 10, 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.