Individual provider Active NPI

Jon Michael Vezendy, DC

  • Occupational Health Chiropractor
  • Cornelius, NC
National Provider Identifier
1033136122
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
NC3013 Issued in NC
Practice address
20723 Torrence Chapel Rd
Ste 201
Cornelius, NC 28031-6399
Phone
(704) 895-2240
Fax
(704) 765-4077
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X NC3013 NC Primary

Addresses

Primary practice location

20723 Torrence Chapel Rd
Ste 201
Cornelius, NC 28031-6399

Mailing address

20723 Torrence Chapel Rd
Ste 201
Cornelius, NC 28031-6399
Phone (704) 895-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060224000552 NC Practitioner - Chiropractic 1759397946 Reassigns benefits to 2 organizations
Practice locations: Cornelius, NC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cannon Chiropractic PLLCGroup PAC ID 6204298813, 2 clinicians
Vezendy Chiropractic PCGroup PAC ID 6507192598, 3 clinicians

Practice addresses (Care Compare)

1739 Dale Earnhardt Blvd
Kannapolis, NC 28083-2102
Phone (704) 938-1141

20723 Torrence Chapel Rd
Suite 201
Cornelius, NC 28031-6399
Phone (704) 895-2240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NC3013NCMDOccupational Health Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Trull Chiropractic PA Chiropractor CurrentSince May 13, 2023 Accepting new patients
Cannon Chiropractic PLLC Chiropractor CurrentSince May 2, 2023 Accepting new patients
Vezendy Chiropractic, PC Occupational Health CurrentSince Feb 8, 2011 Accepting new patients
Carolina Neuropathy Centers, PLLC PastSince Feb 1, 2020 Accepting new patients
West Lake Chiropractic PC Chiropractor Past Accepting new patients

Locations

20723 Torrence Chapel Rd
Ste 201
Cornelius, NC 28031
Phone (704) 895-2240

1739 Dale Earnhardt Blvd
Kannapolis, NC 28083
Phone (704) 323-7991

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1033136122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20723 TORRENCE CHAPEL RD",
            "address_2": "STE 201",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316399",
            "telephone_number": "704-895-2240",
            "fax_number": "704-765-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20723 TORRENCE CHAPEL RD",
            "address_2": "STE 201",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316399",
            "telephone_number": "704-895-2240",
            "fax_number": "704-765-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEZENDY",
        "first_name": "JON",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "NC",
            "license": "NC3013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.