Organization Active NPI

Mahoney Chiropractic Group, LLC

  • Chiropractor
  • Colchester, VT
National Provider Identifier
1740079995
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MAHONEY CHIROPRACTIC GROUP, LLC
Practice address
356 Mountain View Dr Ste 200
Colchester, VT 05446-5989
Phone
(802) 655-2664
Fax
(802) 655-8260
NPI assigned
May 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Dr. Eniel Rolon, DC
Title
Owner
Phone
(802) 655-2664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

356 Mountain View Dr Ste 200
Colchester, VT 05446-5989

Mailing address

356 Mountain View Dr Ste 200
Colchester, VT 05446-5989
Phone (802) 655-2664

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250725000611 VT Part B Supplier - Clinic/Group Practice 8123535135 Receives reassigned benefits from 2 practitioners
Practice locations: Colchester, VT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1740079995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 MOUNTAIN VIEW DR STE 200",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465989",
            "telephone_number": "802-655-2664",
            "fax_number": "802-655-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 MOUNTAIN VIEW DR STE 200",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465989",
            "telephone_number": "802-655-2664",
            "fax_number": "802-655-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHONEY CHIROPRACTIC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "ROLON",
        "authorized_official_first_name": "ENIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-655-2664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.