Individual provider Active NPI

Vladimir Vedock, DC

  • Chiropractor
  • Boone, NC
National Provider Identifier
1013570704
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5293 Issued in NC
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

Updated by the provider on Apr 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14015 TX
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
I20210203000333 NC Practitioner - Chiropractic 1759624612 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
14015TXMDAddiction (Substance Use Disorder) Counselor
5293NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Chiropractic PLLC Chiropractor CurrentSince Nov 15, 2022 Accepting new patients
Vedock Chiropractic PLLC Chiropractor Current Accepting new patients
Hawthorne Chiropractic Center, PA Chiropractor CurrentSince Nov 20, 2022 Accepting new patients
Highlands Chiropractic & Wellness Chiropractor PastSince Dec 10, 2023 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.

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.

Verify at the official NPI Registry.