Active NPI
Miles K Colaprete, DC
- Sports Physician Chiropractor
- Shelburne, VT
National Provider Identifier
1720384159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 006.0091379
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| X012130 | NY | MD | Sports Physician Chiropractor |
| 006.0091379 | VT | MD | Sports 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.
-
dba Balance Chiropractic
- Sports Physician Chiropractor
- Shelburne, VT
- NPI 1326421686
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.