Charles Douglas Vaden Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC6795 Issued in TX

Practice address

214 NE Wilshire Blvd
Burleson, TX 76028-4117

Phone

(817) 705-6611

NPI assigned

Dec 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063575389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961",
            "city": "JOSHUA",
            "state": "TX",
            "postal_code": "760580961",
            "telephone_number": "817-705-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 NE WILSHIRE BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284117",
            "telephone_number": "817-705-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADEN",
        "first_name": "CHARLES",
        "middle_name": "DOUGLAS",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "605346",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zandra Alice Underwood, NURSE PRACTIONER
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• Shaunna Uzee
• Valluri MD PHC PLLC
• Ashok Valluri
• Paula Vastine, FNP
• Jessica Vaughan, FNP-BC
• Karla Yadira Vega, NURSE LVN

• Chiropractor in Burleson, TX
• Providers in Burleson, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.