Individual provider Active NPI

Nicholas Gene Vanderhyde, D.C.

  • Chiropractor
  • Bakersfield, CA
National Provider Identifier
1245642206
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC32837 Issued in CA
Practice address
321 Stine Rd
Bakersfield, CA 93309-3268
Phone
(661) 246-1407
Fax
(661) 835-6217
NPI assigned
May 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC32837 CA Primary

Addresses

Primary practice location

321 Stine Rd
Bakersfield, CA 93309-3268

Mailing address

321 Stine Rd Ste 201
Bakersfield, CA 93309-3268
Phone (661) 246-1407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC32837CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1245642206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 STINE RD STE 201",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933093268",
            "telephone_number": "661-246-1407",
            "fax_number": "661-835-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933093268",
            "telephone_number": "661-246-1407",
            "fax_number": "661-835-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERHYDE",
        "first_name": "NICHOLAS",
        "middle_name": "GENE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.