MOUNTAINSIDE COMMUNITY WELLNESS CENTER
NPI 1386235307
Chiropractor in East Thetford, VT

Active since February 02, 2021
321 ROUTE 113, EAST THETFORD, VT 05043(802) 565-0424 Get Directions Write a Review

NPPES record last updated: November 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 5, 2023, Jan 13, 2023, Aug 1, 2022 and 2 more (5 updates tracked since 2021).

About Mountainside Community Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAINSIDE COMMUNITY WELLNESS CENTER (NPI 1386235307) is a healthcare organization registered as a chiropractor in East Thetford, Vermont and active in the NPI registry since February 2021. The organization lists Bonny R Payne, Owner, as its authorized official.

NPPES Registry Identity

NPI1386235307
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMOUNTAINSIDE CHIROPRACTIC
Location Address321 ROUTE 113East Thetford, VT 05043
Mailing AddressPo Box 154East Thetford, VT 05043-0154 · (802) 565-0424
Organization SubpartNo
Authorized OfficialBonny R PayneOwner · (802) 565-0424
Enumeration DateFebruary 2, 2021
Last NPPES UpdateNovember 5, 20235 updates tracked since enumeration
NPPES CertifiedNovember 5, 2023
✔ NPI 1386235307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
321 ROUTE 113, East Thetford, VT 05043

Other Names 1

Other NameMountainside Community Wellness Center

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountainside Community Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mountainside Community Wellness Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Chiropractic
NPI 1275955114
321 ROUTE 113
East Thetford, VT 05043
(802) 565-0424
✔ Accepts MedicareSame address
Chiropractic
NPI 1740796523
1461 BLOOD BROOK RD
Fairlee, VT 05045
(321) 750-9988
✔ Accepts Medicare7.7 mi
Chiropractic
NPI 1689066300
238 MARLBORO RD SUITE 1
Brattleboro, VT 05301
(802) 490-9338
✔ Accepts Medicare69 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountainside Chiropractic's NPI number?

The NPI number for Mountainside Chiropractic is 1386235307. It was assigned to this organization in the NPPES registry on February 2, 2021. The provider is also known as Mountainside Community Wellness Center.

Where is Mountainside Chiropractic located?

Mountainside Chiropractic is located at 321 Route 113, East Thetford, VT 05043. The listed phone number is (802) 565-0424.

What is Mountainside Chiropractic's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Mountainside Chiropractic enrolled in Medicare?

Yes. Mountainside Chiropractic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountainside Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Mountainside Chiropractic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mountainside Chiropractic accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Mountainside Chiropractic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountainside Chiropractic was last updated on November 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.