Organization Active NPI

Vendsel Chiropractic P.C.

  • Sports Physician Chiropractor
  • Tucson, AZ
National Provider Identifier
1093991556
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
5654 Issued in AZ
Legal business name
VENDSEL CHIROPRACTIC P.C.
Practice address
1857 N Kolb Rd
Tucson, AZ 85715-4900
Phone
(520) 290-2229
Fax
(520) 290-2236
NPI assigned
Jan 15, 2008
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Jeffry Todd Vendsel, D.C.NPI 1427139005
Title
President/Ceo
Phone
(520) 290-2229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 5654 AZ Primary

Addresses

Primary practice location

1857 N Kolb Rd
Tucson, AZ 85715-4900

Mailing address

1857 N Kolb Rd
Tucson, AZ 85715-4900
Phone (520) 290-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080319000555 AZ Part B Supplier - Clinic/Group Practice 0042396871 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

1611 N Wilmot Rd
Ste 101A
Tucson, AZ 85712
Phone (520) 319-2100

1857 N Kolb Rd
Tucson, AZ 85715
Phone (520) 290-2229

3131 N Country Club Rd
Ste 111
Tucson, AZ 85716
Phone (520) 319-2100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1093991556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 N KOLB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154900",
            "telephone_number": "520-290-2229",
            "fax_number": "520-290-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 N KOLB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154900",
            "telephone_number": "520-290-2229",
            "fax_number": "520-290-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENDSEL CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "VENDSEL",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "520-290-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AZ",
            "license": "5654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.