THOMAS J VANIDESTINE JR
NPI 1487600011
Chiropractor in Bangor, ME

Q: What is Thomas J Vanidestine Jr's NPI number?

The NPI number for Thomas J Vanidestine Jr is 1487600011. It was assigned to this organization in the NPPES registry on May 25, 2006.

Q: What is Thomas J Vanidestine Jr's specialty?

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

Active since May 25, 2006

336 MOUNT HOPE AVE, SUITE 11, BANGOR, ME 04401(207) 942-2800(207) 990-2362 Get Directions Write a Review

NPPES record last updated: March 16, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 16, 2017, Jan 11, 2016 (2 updates tracked since 2016).

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About Thomas J Vanidestine Jr NPPES

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

THOMAS J VANIDESTINE JR (NPI 1487600011) is a healthcare organization registered as a chiropractor in Bangor, Maine and active in the NPI registry since May 2006. The organization lists Thomas J Vanidestine, Owner, as its authorized official.

NPPES Registry Identity

NPI1487600011

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameTHOMAS J VANIDESTINE JR

Location Address336 MOUNT HOPE AVE, SUITE 11Bangor, ME 04401-4236

Mailing Address336 Mount Hope Ave, Suite 11Bangor, ME 04401-4236 · (207) 942-2800 · Fax (207) 990-2362

Phone(207) 942-2800

Fax(207) 990-2362

Organization SubpartNo

Authorized OfficialThomas J VanidestineOwner · (207) 942-2800

Enumeration DateMay 25, 2006

Last NPPES UpdateMarch 16, 20172 updates tracked since enumeration

✔ NPI 1487600011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

336 MOUNT HOPE AVE, Bangor, ME 04401

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Other Identifiers 1

Medicare PINME1721ME

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEWIS EVERETT PHILLIPS MD

Internal Medicine

336 MOUNT HOPE AVE, STE 11
BANGOR, ME 04401

Penobscot County (207) 947-0128

HANS ALBERT HOLZWARTH MD

Internal Medicine

336 MOUNT HOPE AVE, STE 11
BANGOR, ME 04401

Penobscot County (207) 947-0128

HEATHER LANDER PT

Physical Therapist

336 MOUNT HOPE AVE
BANGOR, ME 04401

Penobscot County (207) 249-6621

ERIN PELLETIER PT

Physical Therapist

336 MOUNT HOPE AVE
BANGOR, ME 04401

Penobscot County (207) 249-6621

DR. MARK IRA LAUSIER D.M.D.

Dentist (General Practice)

336 MOUNT HOPE AVE, SUITE 10
BANGOR, ME 04401

Penobscot County (207) 942-2511

MAINE UROLOGY ASSOCIATES P.A.

Urology

336 MOUNT HOPE AVE, SUITE 1
BANGOR, ME 04401

Penobscot County (207) 947-0469

KATHLEEN H COUSINS WHCNP

Nurse Practitioner (Women's Health)

336 MOUNT HOPE AVE
BANGOR, ME 04401

Penobscot County (207) 947-0469

DR. THOMAS J VANIDESTINE JR. DC, CCSP

Chiropractor

336 MOUNT HOPE AVE, SUITE 11
BANGOR, ME 04401

Penobscot County (207) 942-2800

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 Thomas J Vanidestine Jr's NPI number?

The NPI number for Thomas J Vanidestine Jr is 1487600011. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Thomas J Vanidestine Jr located?

Thomas J Vanidestine Jr is located at 336 Mount Hope Ave Suite 11, Bangor, ME 04401. The listed phone number is (207) 942-2800.

What is Thomas J Vanidestine Jr's specialty?

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

When was this NPI record last updated?

The NPPES record for Thomas J Vanidestine Jr was last updated on March 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.