DR. THOMAS J VANIDESTINE DC CCSP NPI 1538108022

NPI Information

NPI: 1538108022
Provider Name: DR. THOMAS J VANIDESTINE, DC, CCSP
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Organization: KATAHDIN VALLEY HEALTH CENTER Address:
336 MOUNT HOPE AVE
SUITE 11
BANGOR, ME
ZIP 04401
Phone: (207) 942-2800
Get Directions

DR. Thomas J Vanidestine, DC, CCSP is a chiropractor in Bangor, ME with 34 years of experience. The provider is 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. DR. Thomas J Vanidestine, DC, CCSP NPI is 1538108022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

336 MOUNT HOPE AVE
SUITE 11
BANGOR, ME
ZIP 04401-236
Phone: (207) 942-2800
Fax: (207) 990-2362

The enumeration date for this NPI number is 6/6/2006 and was last updated on 12/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		CR814	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5734579	OTHER	MAINE	CIGNA
2	001039	OTHER	MAINE	BLUE CROSS/ANTHEM
3	U09033	MEDICARE UPIN	MAINE
4	MM3453	MEDICARE PIN	MAINE
5	610664	OTHER	MAINE	GREAT WEST/ACN
6	P00282285	OTHER	MAINE	RAILROAD MEDICARE
7	68974	OTHER	MAINE	FIRST HEALTH
8	MN0080	OTHER	MAINE	HARVARD PILGRIM
9	121660000	MEDICAID	MAINE
10	5314274	OTHER	MAINE	AETNA
11	ME1721	MEDICARE PIN	MAINE
12	121660099	MEDICAID	MAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »