Organization Active NPI

Pheomany Vandy D.C., PLLC

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1093914657
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10594 Issued in TX
Legal business name
PHEOMANY VANDY D.C., PLLC
Practice address
6148 Bryant Irvin Rd
Fort Worth, TX 76132-4119
Phone
(817) 292-2200
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Dr. Pheomany Vandy, D.C.
Title
Owner
Phone
(817) 292-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10594 TX Primary

Addresses

Primary practice location

6148 Bryant Irvin Rd
Fort Worth, TX 76132-4119

Mailing address

6148 Bryant Irvin Rd
Fort Worth, TX 76132-4119
Phone (817) 292-2200

National Provider Directory

National Provider Directory

Locations

6148 Bryant Irvin Rd
Fort Worth, TX 76132
Phone (817) 292-2200

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1093914657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6148 BRYANT IRVIN RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324119",
            "telephone_number": "817-292-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6148 BRYANT IRVIN RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324119",
            "telephone_number": "817-292-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHEOMANY VANDY D.C., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "VANDY",
        "authorized_official_first_name": "PHEOMANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-292-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.