Active NPI
Evvdc, PC
- Family Nurse Practitioner
- Dallas, TX
National Provider Identifier
1083801211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- EVVDC, PC
- Practice address
- 4001 McEwen Rd Ste 100
Dallas, TX 75244-5021 - Phone
- (214) 295-9671
- Fax
- (972) 432-5139
- NPI assigned
- Oct 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melinda Erin Vanveldhuizen, DC, FNP
- Title
- Owner
- Phone
- (214) 295-9671
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
4001 McEwen Rd Ste 100
Dallas, TX 75244-5021
Mailing address
4001 McEwen Rd Ste 100
Dallas, TX 75244-5021
Phone (214) 295-9671
Other names 1
- Innovative Health and Wellness Group
National Provider Directory
National Provider DirectoryLocations
12800 Preston Rd
Ste 200
Dallas, TX 75230
Phone (214) 536-2423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565222400000",
"number": "1083801211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 MCEWEN RD STE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445021",
"telephone_number": "214-295-9671",
"fax_number": "972-432-5139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 MCEWEN RD STE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445021",
"telephone_number": "214-295-9671",
"fax_number": "972-432-5139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVVDC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-02",
"last_updated": "2019-08-08",
"status": "A",
"authorized_official_last_name": "VANVELDHUIZEN",
"authorized_official_first_name": "MELINDA",
"authorized_official_middle_name": "ERIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-295-9671",
"authorized_official_credential": "DC, FNP"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Innovative Health and Wellness Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.