Vernon Thomas Waldorf Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B01545 Issued in NV

Practice address

6135 Lakeside Dr Ste 119
Reno, NV 89511

Phone

(775) 842-0065

Fax

(775) 473-3268

NPI assigned

Nov 14, 2016

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

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Active Life Integrated Health

  • Chiropractor
  • Reno, NV
  • NPI 1396540605
  NPD Authorized official

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760745600000",
    "number": "1083156608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 CAUGHLIN PKWY # 163",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190907",
            "telephone_number": "775-842-0065",
            "fax_number": "775-473-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 LAKESIDE DR STE 119",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-842-0065",
            "fax_number": "775-473-3268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Brookhollow Ln",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895190660",
            "country_code": "US",
            "telephone_number": "916-206-9107",
            "fax_number": "775-473-3268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDORF",
        "first_name": "VERNON",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-14",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores, Inc (Vision Center 30-3254)
• Joseph Walcomb
• Rachael Mary Walden, M.S./ SLP
• Alexa K Waldmann, CSW INTERN
• Kim Waldorf
• Whitney Walecke
• Waleran Enterprises, Inc. (BrightStar of Reno)
• Walgreen Co (Walgreens #05295)
• Walgreen Co (Walgreens #04789)
• Walgreen Co (Walgreens #11226)

• Chiropractor in Reno, NV
• Providers in Reno, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; 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.