Active NPI
Tracy Jason Vedder, D.C.
- Chiropractor
- Santa Barbara, CA
National Provider Identifier
1063422863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC23606
- Practice address
- 510 Castillo St
Suite 104
Santa Barbara, CA 93101-3406 - Phone
- (805) 453-4158
- Fax
- (805) 568-1680
- NPI assigned
- Aug 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC23606 | CA | Primary |
Addresses
Primary practice location
510 Castillo St
Suite 104
Santa Barbara, CA 93101-3406
Mailing address
510 Castillo St
Suite 104
Santa Barbara, CA 93101-3406
Phone (805) 453-4158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC23606 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226275200000",
"number": "1063422863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 CASTILLO ST",
"address_2": "SUITE 104",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931013406",
"telephone_number": "805-453-4158",
"fax_number": "805-568-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 CASTILLO ST",
"address_2": "SUITE 104",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931013406",
"telephone_number": "805-453-4158",
"fax_number": "805-568-1680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEDDER",
"first_name": "TRACY",
"middle_name": "JASON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2008-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC23606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "DC23606",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.