Jasen Todd Vandyke, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4464 Issued in NC

Practice address

6 Park PL W
Brevard, NC 28712-3081

Phone

(828) 883-8262

Fax

(828) 883-8264

NPI assigned

Apr 8, 2013

Last updated

Dec 2, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renew Spine Center, PC

  • Chiropractor
  • Brevard, NC
  • NPI 1649679630
  Medicare reassignment NPD Authorized official
• Popwell Scota Spine Center

  • Chiropractor
  • Greenville, SC
  • NPI 1407906290
  NPD
• Integrate Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Brevard, NC
  • NPI 1659821619
  NPD (past)

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1063855203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARK PL W",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123081",
            "telephone_number": "828-883-8262",
            "fax_number": "828-883-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PARK PL W",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123081",
            "telephone_number": "828-883-8262",
            "fax_number": "828-883-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDYKE",
        "first_name": "JASEN",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3818",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usi II LLC (The Parc at Brevard)
• Nicholas Ussery, DPT
• Meghan Raquel Valdes, DDS
• Leila Danielle Van Gemert, DO
• Van Oostendorp DDS and Gunnell DDS PLLC
• Bartel Vanoostendorp V, D.D.S.
• Vein Specialties LLC
• Katherine Edwards Volatile, M.D.
• Walgreen Co (Walgreens #10274)
• Abigail D Walker, LCSW

• Chiropractor in Brevard, NC
• Providers in Brevard, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.