Individual provider Active NPI

Clarke Douglas Paige, D.C., L.AC.

  • Chiropractor
  • Manchester Center, VT
National Provider Identifier
1821320359
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006.0075005 Issued in VT
Practice address
231 Bonnet Street
Manchester Center, VT 05255-0231
Phone
(802) 451-9993
NPI assigned
Feb 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006.0075005 VT Primary

Addresses

Primary practice location

231 Bonnet Street
Manchester Center, VT 05255-0231

Mailing address

231 Bonnet Street
Manchester Center, VT 05255-0231
Phone (802) 451-9993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120308000353 VT Practitioner - Chiropractic 3375702426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

231 Bonnet St
Manchester Center, VT 05255-9357
Phone (802) 362-6266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006.0075005VTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Paige Chriopractic and Acupuncture PLLC Chiropractor CurrentSince Oct 16, 2011 Accepting new patients

Locations

231 Bonnet St
Manchester Center, VT 05255
Phone (802) 236-8469

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1821320359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 BONNET STREET",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052550231",
            "telephone_number": "802-451-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 BONNET STREET",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052550231",
            "telephone_number": "802-451-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "CLARKE",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-09",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006.0075005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester Center, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.