Organization Active NPI

Chittenden County Chiropractic Inc.

  • Chiropractor
  • Essex Junction, VT
National Provider Identifier
1952347775
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006-0001120 Issued in VT
Legal business name
CHITTENDEN COUNTY CHIROPRACTIC INC.
Practice address
20 Lincoln Street
Essex Junction, VT 05452-3154
Phone
(802) 879-3900
Fax
(802) 879-3511
NPI assigned
Jun 21, 2006
Last updated
Mar 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Dr. Cory Andrew Pike, D.C.NPI 1528011855
Title
Owner
Phone
(802) 879-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006-0001120 VT Primary

Addresses

Primary practice location

20 Lincoln Street
Essex Junction, VT 05452-3154

Mailing address

20 Lincoln Street
Essex Junction, VT 05452-3154
Phone (802) 879-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060622000117 VT Part B Supplier - Clinic/Group Practice 1759393390 Receives reassigned benefits from 2 practitioners
Practice locations: Essex Junction, VT

National Provider Directory

National Provider Directory

Locations

20 Lincoln St
Essex Junction, VT 05452
Phone (802) 879-3900

Practitioners & affiliated clinicians

Practitioners 2

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": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1952347775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LINCOLN STREET",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523154",
            "telephone_number": "802-879-3900",
            "fax_number": "802-879-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LINCOLN STREET",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523154",
            "telephone_number": "802-879-3900",
            "fax_number": "802-879-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHITTENDEN COUNTY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-879-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006-0001120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.