Organization Active NPI

Vezendy Chiropractic, PC

  • Occupational Health Chiropractor
  • Cornelius, NC
National Provider Identifier
1164986147
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
Legal business name
VEZENDY CHIROPRACTIC, PC
Practice address
20723 Torrence Chapel Rd Ste 201
Cornelius, NC 28031-6399
Phone
(704) 895-2240
NPI assigned
Jan 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Dr. Jon Vezendy, DCNPI 1033136122
Title
President
Phone
(704) 252-1093

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
Occupational Health ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0100X Primary

Addresses

Primary practice location

20723 Torrence Chapel Rd Ste 201
Cornelius, NC 28031-6399

Mailing address

20723 Torrence Chapel Rd Ste 201
Cornelius, NC 28031-6399
Phone (704) 895-2240

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190730000193 NC Part B Supplier - Clinic/Group Practice 6507192598 Receives reassigned benefits from 3 practitioners
Practice locations: Cornelius, NC

National Provider Directory

National Provider Directory

Locations

20723 Torrence Chapel Rd
Ste 201
Cornelius, NC 28031
Phone (704) 895-2240

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1164986147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20723 TORRENCE CHAPEL RD STE 201",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316399",
            "telephone_number": "704-895-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20723 TORRENCE CHAPEL RD STE 201",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316399",
            "telephone_number": "704-895-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEZENDY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "VEZENDY",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-252-1093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.