Vesta, PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0060000899 Issued in VT

Legal business name

VESTA, PLC

Practice address

5247 Shelburne Rd
Suite 204
Shelburne, VT 05482-7018

Phone

(802) 985-3300

Fax

(802) 735-0454

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mary C Spicer, DCNPI 1265518088

Title

Owner

Phone

(802) 985-3300

Specialties & licenses 1

Addresses

Other names 1

• Back in Balance Doing business as

Locations

Practitioners 1

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

• Mary C. Spicer, D.C.

  • Chiropractor
  • Shelburne, VT
  • NPI 1265518088
  NPD (past) Authorized official

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1891994794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5247 SHELBURNE RD",
            "address_2": "SUITE 204",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827018",
            "telephone_number": "802-985-3300",
            "fax_number": "802-735-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5247 SHELBURNE RD",
            "address_2": "SUITE 204",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827018",
            "telephone_number": "802-985-3300",
            "fax_number": "802-735-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTA, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "SPICER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-985-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "0060000899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back in Balance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Shelburne, VT
• Providers in Shelburne, VT by specialty
• Chiropractor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.