Individual provider Active NPI

James Charkalis, DC

  • Chiropractor
  • Stowe, VT
National Provider Identifier
1750420097
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0060000863 Issued in VT
Practice address
188 South Main St
Stowe, VT 05672-4649
Phone
(802) 253-7004
Fax
(802) 253-0867
NPI assigned
Feb 5, 2007
Sex
Male
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0060000863 VT Primary
Chiropractor 111N00000X 38MC00200700 NJ

Addresses

Primary practice location

188 South Main St
Stowe, VT 05672-4649

Mailing address

188 South Main St
Stowe, VT 05672-4649
Phone (802) 253-7004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000754 VT Practitioner - Chiropractic 4385664291 Practice locations: Stowe, VT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00200700NJMDChiropractor
0060000863VTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750420097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 SOUTH MAIN ST",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056724649",
            "telephone_number": "802-253-7004",
            "fax_number": "802-253-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 SOUTH MAIN ST",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056724649",
            "telephone_number": "802-253-7004",
            "fax_number": "802-253-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARKALIS",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "0060000863",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00200700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stowe, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.