Organization Active NPI

Evvdc, PC

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1083801211
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Aug 8, 2019

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.