Paige Chriopractic and Acupuncture PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0060075005 Issued in VT

Legal business name

PAIGE CHRIOPRACTIC AND ACUPUNCTURE PLLC

Practice address

231 Bonnet Street
Manchester Center, VT 05255-0231

Phone

(802) 362-6266

Fax

(802) 362-6265

NPI assigned

Jan 9, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Bonnie Lee Clark

Title

Practice Manager

Phone

(802) 732-8054

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 6

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

• Clarke Douglas Paige, D.C., L.AC.

  • Chiropractor
  • Manchester Center, VT
  • NPI 1821320359
  Medicare reassignment NPD
• Austen Bingham, LPC

  • Professional Counselor
  • Manchester Center, VT
  • NPI 1679025670
  NPD (past)
• Joan L. Fish, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bennington, VT
  • NPI 1831278407
  NPD (past)
• Margaret B Mole, P.T.

  • Physical Therapist
  • Manchester Center, VT
  • NPI 1053313155
  NPD (past)
• Robin Wilson Gordon, LPC

  • Professional Counselor
  • Carrollton, GA
  • NPI 1699367987
  NPD (past)
• Joshua William Theodore Grubb

  • Professional Counselor
  • Carrollton, GA
  • NPI 1518465681
  NPD (past)

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1861762742",
    "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": "802-362-6266",
            "fax_number": "802-362-6265"
        },
        {
            "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": "802-362-6266",
            "fax_number": "802-362-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIGE CHRIOPRACTIC AND ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "802-732-8054",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "0060075005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12255508",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Molineaux, RPH
• D. Blake Moran, BCTMB
• Hien Dieu Nguyen, PHARMD
• Edward Novick, RPH
• John Ottesen, DDS
• Clarke Douglas Paige, D.C., L.AC.
• Patricia M Patane, ATC, PT
• Ute S Patrick, OTR/L
• Peak Motion Physical Therapy
• Michael David Polifka, M.D.

• Chiropractor in Manchester Center, VT
• Providers in Manchester Center, VT by specialty
• Chiropractor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.