Individual provider Active NPI

Kenzie Mahoney, DC

  • Chiropractor
  • Colchester, VT
National Provider Identifier
1881335230
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006.0134173 Issued in VT
Practice address
356 Mountain View Dr Ste 200
Colchester, VT 05446-5989
Phone
(802) 655-2664
NPI assigned
Apr 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006.0134173 VT 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
I20240612003257 VT Practitioner - Chiropractic 6800338229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Mahoney Family Chiropractic LLCGroup PAC ID 3476785155, 3 clinicians
Mahoney Chiropractic Group, LLCGroup PAC ID 8123535135, 2 clinicians

Practice addresses (Care Compare)

261 Mountain View Dr
Suite 401
Colchester, VT 05446-8047
Phone (802) 655-2664

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006.0134173VTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mahoney Chiropractic Group, LLC Chiropractor CurrentSince Jun 21, 2025 Accepting new patients
Mahoney Family Chiropractic, LLC Chiropractor CurrentSince May 3, 2024 Accepting new patients

Locations

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

261 Mountain View Dr
Ste 401
Colchester, VT 05446
Phone (802) 655-2664

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": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1881335230",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "KENZIE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006.0134173",
            "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 Apr 7, 2022; 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.