Thomas J. Vanidestine Jr., DC, CCSP
NPI 1538108022ActiveIndividual· Chiropractor· Bangor, ME
Chiropractor (DC, CCSP) with Katahdin Valley Health Center, practicing in Bangor, Maine. Enrolled in Medicare as practitioner - chiropractic.
Overview
| NPI | 1538108022 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DC, CCSP |
| Sole proprietor | Yes |
| NPI issued | Jun 6, 2006 |
| Last updated in NPPES | Dec 1, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | CR814 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (ME) |
|---|
Education and affiliations
| Graduation year | 1990 |
|---|---|
| Medicare specialty | Chiropractic |
Medical group
- Katahdin Valley Health CenterBrownville, ME · 67 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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