MOUNTAINSIDE CHIROPRACTIC – NPI #1386235307
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Health Care Provider Taxonomy Code for Chiropractor

MOUNTAINSIDE CHIROPRACTIC is a chiropractor located in EAST THETFORD, VT. NPPES has assigned the NPI number 1386235307 to MOUNTAINSIDE CHIROPRACTIC on February 02, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. MOUNTAINSIDE CHIROPRACTIC is also known by the name MOUNTAINSIDE COMMUNITY WELLNESS CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 111N00000X from the Health Care Provider Taxonomy code set, which is classified as Chiropractor.

The NPI profile was previously updated about 3 years ago on Nov 05, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOUNTAINSIDE CHIROPRACTIC below.

NPI Profile for
MOUNTAINSIDE CHIROPRACTIC

NPI Number
1386235307
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOUNTAINSIDE CHIROPRACTIC
Other Name: MOUNTAINSIDE COMMUNITY WELLNESS CENTER
Primary location
321 ROUTE 113
EAST THETFORD, VT 05043
Phone: (802) 565-0424 Fax:
Mailing address
PO BOX 154
EAST THETFORD, VT 05043-0154
Phone: (802) 565-0424 Fax:
Organization Subpart
No
Authorized Official
BONNY PAYNE
OWNER
Phone: (802) 565-0424
Updated
Certification Date
Nov 05, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
111N00000X
- Chiropractor (Primary)
208100000X
- Physical Medicine & Rehabilitation

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.