Unknown Individual – Chiropractor, NPI 1871577916

Unknown Individual is a healthcare provider. based in South burlington, Vermont. specializing in Chiropractor. They hold a License No. 1017 (VT). The NPI Number for Unknown Individual is 1871577916

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1871577916
Phone
(802) 865-4714
Address
54 W TWIN OAKS TER
Deactivation Date
10 October 2023

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Secondary Phone
8028654714
Graduation Year
1993 (33 years ago)
PAC ID
7517002660
Group Practice PAC ID
4880739937
Professional Enrollment ID
I20110922000460
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • West Twin Oaks Terrace, South Burlington, Chittenden County, Vermont, 05403, United States

    STE 16

    SOUTH BURLINGTON, VT 054037141

    Phone: (802) 865-4714

    Fax: (802) 865-0260

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98940Chiropractic manipulative treatment, 1-2 spinal regions6322$0
View full utilization report →

Insurance plans in this area (ZIP 05403)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880739937View full group profile
NameSpecialtyState
-VT

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1871577916.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Chiropractor. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes South Burlington, Vermont for Unknown Individual; expand the address list for detail.
What if South Burlington, Vermont seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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