Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. THOMAS J VANIDESTINE JR.
Active
Individual
DR. THOMAS J VANIDESTINE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, CCSP
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR814
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001039
BLUE CROSS/ANTHEM
ME
05
—
121660000
—
ME
05
—
121660099
—
ME
01
—
5314274
AETNA
ME
01
—
5734579
CIGNA
ME
01
—
610664
GREAT WEST/ACN
ME
01
—
68974
FIRST HEALTH
ME
01
—
MN0080
HARVARD PILGRIM
ME
01
—
P00282285
RAILROAD MEDICARE
ME
Enumeration date
06/06/2006
Last updated
12/01/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers