Active NPI
Vladimir Vedock, DC
- Chiropractor
- Boone, NC
National Provider Identifier
1013570704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5293
- Practice address
- 136 Furman Rd Ste 1
Boone, NC 28607-5038 - Phone
- (214) 837-2433
- NPI assigned
- Apr 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14015 | TX | |
| Chiropractor | 111N00000X | 5293 | NC | Primary |
Addresses
Primary practice location
136 Furman Rd Ste 1
Boone, NC 28607-5038
Mailing address
136 Furman Rd Ste 1
Boone, NC 28607-5038
Phone (828) 264-4521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
136 Furman Rd
Suite 1
Boone, NC 28607-5038
Phone (214) 837-2433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14015 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 5293 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Vedock Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Hawthorne Chiropractic Center, PA | Chiropractor | Current | Accepting new patients |
| Highlands Chiropractic & Wellness | Chiropractor | Past | Accepting new patients |
| Maverick Chiropractic PLLC | Single Specialty | Past | Accepting new patients |
Locations
136 Furman Rd
Ste 1
Boone, NC 28607
Phone (214) 837-2433
817 W South Commerce St
Wills Point, TX 75169
Phone (903) 873-6080
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Boone, NC
- NPI 1992414387
-
- Chiropractor
- Wills Point, TX
- NPI 1316500010
-
- Chiropractor
- Boone, NC
- NPI 1366418261
-
- Chiropractor
- Highlands, NC
- NPI 1386411585
-
- Preferred Provider Organization
- Forney, TX
- NPI 1831639947
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714176000000",
"number": "1013570704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 FURMAN RD STE 1",
"city": "BOONE",
"state": "NC",
"postal_code": "286075038",
"telephone_number": "828-264-4521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 FURMAN RD STE 1",
"city": "BOONE",
"state": "NC",
"postal_code": "286075038",
"telephone_number": "214-837-2433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEDOCK",
"first_name": "VLADIMIR",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-17",
"last_updated": "2024-04-27",
"certification_date": "2024-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14015",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NC",
"license": "5293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.