NPIMap

Organization Active NPI

Kintner Chiropractic Center, PC

  • Nutrition Chiropractor
  • Jericho, VT
National Provider Identifier
1861520397
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
06834 Issued in VT
Legal business name
KINTNER CHIROPRACTIC CENTER, PC
Practice address
397 VT Route 15
Jericho, VT 05465-2044
Phone
(802) 899-5400
NPI assigned
Feb 28, 2007
Last updated
Dec 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Dr. Mary H Kintner, R.N., D.C.NPI 1447229505
Title
Owner
Phone
(802) 899-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 06834 VT Primary

Addresses

Primary practice location

397 VT Route 15
Jericho, VT 05465-2044

Mailing address

PO Box 63
Underhill, VT 05489-0063
Phone (802) 899-5400

Other identifiers 2

IdentifierTypeStateIssuer
00028821OtherVTBCBSVT GROUP
00009924OtherVTBCBSVT PROVIDER

National Provider Directory

National Provider Directory

Locations

397 Vt Route 15
Jericho, VT 05465
Phone (802) 899-5400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1861520397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63",
            "city": "UNDERHILL",
            "state": "VT",
            "postal_code": "054890063",
            "telephone_number": "802-899-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 VT ROUTE 15",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "054652044",
            "telephone_number": "802-899-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINTNER CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "KINTNER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-899-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "R.N., D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "VT",
            "license": "06834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSVT GROUP",
            "identifier": "00028821",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSVT PROVIDER",
            "identifier": "00009924",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.