RESET P.A. (NPI# 1265542435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265542435 |
| Entity Type | Organization |
| Organization Name | RESET P.A. |
| Other Organization Name | BEAR LAKE FAMILY CHIROPRACTIC |
| Practice Address |
710 N 4th St Montpelier ID 83254-1050 |
| Mailing Address |
Po Box 26 Montpelier ID 83254-0026 |
| Practice Telephone | 2088472273 |
| Practice Fax Number | 2088470678 |
| Mailing Telephone | 2088472273 |
| Mailing Fax Number | 2088470678 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MATTHEW BRINTON STEVENS (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2088472273 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1106 | ID | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | RR MEDICARE | P271311 | 01 |
| ID | FIRST HEALTH | 5638605 | 01 |
| ID | REGENCY BLUE SHIELD OF ID | 000010155708 | 01 |
| ID | BLUE CROSS | C4959 | 01 |
| Other Name | Type Code |
|---|---|
| Bear Lake Family Chiropractic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Reset Performance LLC | 232 Cedar Ridge Drive, Ruther Glen, Virginia 22546 |
| Street Address |
710 N 4TH ST |
| City | MONTPELIER |
| State | ID |
| Zip Code | 83254-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013027952 | Matthew Brinton Stevens | Chiropractor | 710 N 4th St, Montpelier, ID 83254-1050 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366597866 | Joseph F Decker Professional Corp | Surgery | 164 S 5th, Montpelier, ID 83254 | 2007-01-24 |
| 1447311139 | Bear Lake County | Ambulance | 385 Cemetary Road, Montpelier, ID 83254 | 2006-12-13 |
| 1073685343 | Steven D Hammond | Dentist | 455 Washington St, Montpelier, ID 83254 | 2006-11-14 |
| 1982610549 | Dorian S Grunig | Nurse Anesthetist, Certified Registered | 164 South 5th, Montpelier, ID 83254 | 2006-08-01 |
| 1104840412 | Harold A Olson | Pharmacist | 765 Washington St., Montpelier, ID 83254 | 2006-07-27 |
| 1033603345 | Sydnie M Hobbs | Nurse Practitioner | 152 S 4th St, Montpelier, ID 83254 | 2018-06-20 |
| 1265505705 | Robert D Degnan | Obstetrics & Gynecology | 742 Washington St, Montpelier, ID 83254 | 2006-11-15 |
| 1952491714 | Gary Scott Griffin | Nurse Anesthetist, Certified Registered | 164 South 5th, Montpelier, ID 83254 | 2006-10-13 |
| 1740598614 | Bear Lake Memorial Hospital | Assisted Living Facility | 855 Boise St, Montpelier, ID 83254-1070 | 2010-09-14 |
| 1992874440 | Bear Lake Physical and Sports Therapy PC | Physical Therapist | 710 N 4th Street, Montpelier, ID 83254-1086 | 2006-11-07 |
| Find all providers in zip 83254 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013121235 | Ronald K Wisdom | Chiropractor | 155 Elm St, Montpelier, VT 05602-4467 | 2007-05-09 |
| 1639382260 | Pamela C. Milosevich | Chiropractor | 5 Allen Row, Montpelier, VT 05602-3753 | 2007-05-08 |
| 1427112234 | Joshua M Schlade | Chiropractor | 1225 E Main St, Montpelier, OH 43543-1247 | 2006-12-19 |
| 1619996477 | Heather Lane Connolly | Chiropractor | 338 River St, Suite 8, Montpelier, VT 05602-8242 | 2006-07-19 |
| 1174562466 | James Chester Wallace | Chiropractor | 110 N Jonesville St, Montpelier, OH 43543-1006 | 2006-06-05 |
| 1730127143 | Theresa M Neiss | Chiropractor | 16603 Mountain Rd, Montpelier, VA 23192-2660 | 2006-06-04 |
| 1982252227 | Clear Path Clinic LLC | Chiropractor | 147 State St, Montpelier, VT 05602-3301 | 2019-08-29 |
| 1477043479 | Christina Andrle | Chiropractor | 147 State St, Montpelier, VT 05602 | 2018-05-15 |
| 1366943185 | Central Vermont Chiropractic | Chiropractor | 81 River St, Montpelier, VT 05602 | 2018-02-27 |
| 1548687502 | Vermont Back and Body Care, LLC | Chiropractor | 338 River St, Suite #8, Montpelier, VT 05602-8242 | 2014-03-27 |
| Find all providers in MONTPELIER | ||||
| City | MONTPELIER |
| Zip Code | 83254 |
Please comment or provide details below to improve the information on RESET P.A..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.