Charles H. McLean, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

610 Issued in VT

Practice address

507 Shelburne Rd
Burlington, VT 05401-5008

Phone

(802) 864-5150

Fax

(802) 860-0668

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Associates in Chiropractic & Kinesiology

  • Chiropractor
  • Burlington, VT
  • NPI 1013088426
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1942371349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 SHELBURNE RD",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015008",
            "telephone_number": "802-864-5150",
            "fax_number": "802-860-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 SHELBURNE RD",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015008",
            "telephone_number": "802-864-5150",
            "fax_number": "802-860-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "CHARLES",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "610",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "VT",
            "license": "610",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS - DEPT OF LABOR (FED)",
            "identifier": "101451100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSVT",
            "identifier": "8747",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin McKivergan, LCMHC
• Brittni McKolosky, BCBA
• Mark D McLane, LICSW
• Ashley M McLaren, DNP, AGNP-C
• Jenny Rebecca Amy McLaughlin, CNM
• Kelley C McLean, MD
• William McMains, MD
• Jessica J McNally, MD
• Walter E McNally, M.D.
• Mariah McNamara, MD, MPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.