DR. JASEN TODD VANDYKE (NPI# 1063855203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063855203 |
| Entity Type | Individual |
| Full Name | DR. JASEN TODD VANDYKE |
| Credential | DC |
| Practice Address |
19 Chestnut St Suite 3 Brevard NC 28712-3055 |
| Practice Telephone | 8288838262 |
| Practice Fax Number | 8288838264 |
| Mailing Telephone | 8288838262 |
| Mailing Fax Number | 8288838264 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2014-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 4464 | NC | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 3818 | SC | Chiropractic Providers |
| Street Address |
19 CHESTNUT ST SUITE 3 |
| City | BREVARD |
| State | NC |
| Zip Code | 28712-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275522443 | Joyanne Baron | Physical Therapist | 19 Chestnut St, Ste 3, Brevard, NC 28712-5590 | 2005-10-19 |
| 1659821619 | Integrate Physical Therapy LLC | Clinic/Center | 19 Chestnut St, Suite 3, Brevard, NC 28712-3055 | 2016-10-13 |
| 1649679630 | Renew Spine Center, PC | Chiropractor | 19 Chestnut St, Suite 3, Brevard, NC 28712-3055 | 2014-08-15 |
| 1336114420 | Edgar Lee Ham | Chiropractor | 19 Chestnut St, Suite 3, Brevard, NC 28712-5590 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205351152 | Kelley Strom | Occupational Therapist | 835 Wolf Pen Cove Road, Brevard, NC 28712 | 2017-08-11 |
| 1568909232 | Christina Faye Jachens | Counselor | 39 East Jordan Street, Brevard, NC 28712 | 2017-01-19 |
| 1922446947 | Allcare Clinical Associates, Pa | Anesthesiology | 89c Hospital Drive, Brevard, NC 28712 | 2013-06-12 |
| 1265742852 | Loftis Home Medical LLC | Durable Medical Equipment & Medical Supplies | 181 Rosman Hwy, Brevard, NC 28712 | 2010-10-15 |
| 1407164395 | United Rehab Inc. | Clinic/Center | 300 Morris Road, Brevard, NC 28712 | 2010-09-14 |
| 1083931851 | Polly Mitchiner-senecal | Pharmacist | 382 Asheville Highway, Brevard, NC 28712 | 2010-05-03 |
| 1891029682 | Douglas Carl Harris | Pharmacist | 382 Asheville Hwy., Brevard, NC 28712 | 2009-09-25 |
| 1386828770 | Academy of The Sierras | Residential Treatment Facility, Physical Disabilities | 1 Lambs Creek Rd, Brevard, NC 28712 | 2007-12-21 |
| 1215117619 | Kimberly Lynn Marchisin | Orthotic Fitter | 10 E Jordan St West, Brevard, NC 28712 | 2007-11-14 |
| 1841482700 | Transylvania County Dss | Public Health or Welfare | 106 E Morgan Street, Brevard, NC 28712 | 2007-08-15 |
| Find all providers in zip 28712 | ||||
| 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 |
|---|---|---|---|---|
| 1366524431 | Nancy H Cagen | Chiropractor | 39 W Jordan St, Brevard, NC 28712-3606 | 2006-10-19 |
| 1891737235 | Frank Ernest Trozzo I | Chiropractor | 15 Rosman Hwy, Brevard, NC 28712-4117 | 2006-06-11 |
| 1649679630 | Renew Spine Center, PC | Chiropractor | 19 Chestnut St, Suite 3, Brevard, NC 28712-3055 | 2014-08-15 |
| 1053591867 | Cagen Family Chiropractic Pllc | Chiropractor | 39 W Jordan St, Brevard, NC 28712-3606 | 2007-11-08 |
| 1932283124 | Steven F. Cagen | Chiropractor | 39 W Jordan St, Brevard, NC 28712-3606 | 2006-10-24 |
| 1497852701 | Brevard Chiropractic Center Pa | Chiropractor | 15 Rosman Hwy, Brevard, NC 28712-4117 | 2006-09-20 |
| 1477669794 | David Virgil Dungan Jr. | Chiropractor | 123 E Main St, Brevard, NC 28712-4481 | 2006-08-21 |
| 1336114420 | Edgar Lee Ham | Chiropractor | 19 Chestnut St, Suite 3, Brevard, NC 28712-5590 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001776 | Abigail Plowcha | Chiropractor | 4818 Charlton Ln, Charlotte, NC 28210-2705 | 2020-10-22 |
| 1154920056 | Willow Health and Wellness | Chiropractor | 643 Greenway Rd Ste K1, Boone, NC 28607-4840 | 2020-10-21 |
| 1639778855 | Brittany Alexa Kopec | Chiropractor | 916 W Morgan St, Raleigh, NC 27603-1512 | 2020-10-19 |
| 1598363343 | Sierra Davis | Chiropractor | 8420 New Town Rd Ste 102, Waxhaw, NC 28173-7088 | 2020-10-14 |
| 1225644024 | Tory Hall | Chiropractor | 8424 Ovation Dr, Cary, NC 27513-2646 | 2020-09-17 |
| 1821602707 | Jose Cruz Troche | Chiropractor | 6253 South Blvd, Charlotte, NC 28217-4440 | 2020-09-08 |
| 1720692924 | Scott Chiropractic LLC | Chiropractor | 1075 Walmart Dr, Williamston, NC 27892-9749 | 2020-09-04 |
| 1437763711 | Robert Cameron Browney | Chiropractor | 41 N Merrimon Ave Unit 111, Woodfin, NC 28804-1364 | 2020-09-03 |
| 1467066076 | Christopher Mckechnie | Chiropractor | 827 Heart Wood Loop Rd Ne, Leland, NC 28451-9419 | 2020-09-01 |
| 1548873706 | Hunter Samuel Buckley | Chiropractor | 8928 Us 70 Bus Hwy W Ste 700, Clayton, NC 27520-4847 | 2020-08-27 |
| Find all providers with the same taxonomy | ||||
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| 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.