NPIMap

Organization Active NPI

Jack K. Vandervort

Doing business as Family Chiropractic Center

  • Chiropractor
  • Meadville, PA
National Provider Identifier
1285696773
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JACK K. VANDERVORT
Doing business as
Family Chiropractic Center
Practice address
11581 State Hwy 98
Meadville, PA 16335-7321
Phone
(814) 336-3434
Fax
(814) 337-8767
NPI assigned
Apr 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Authorized official

Name
Mrs. Maureen Elaine Vandervort
Title
Office Manager
Phone
(814) 336-3434

Specialties & licenses 1

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

Addresses

Primary practice location

11581 State Hwy 98
Meadville, PA 16335-7321

Mailing address

11581 State Hwy 98
Meadville, PA 16335-7321
Phone (814) 336-3434

Other identifiers 1

IdentifierTypeStateIssuer
1007313200006MedicaidPA

Other names 1

  • Family Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1285696773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11581 STATE HWY 98",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163357321",
            "telephone_number": "814-336-3434",
            "fax_number": "814-337-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11581 STATE HWY 98",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163357321",
            "telephone_number": "814-336-3434",
            "fax_number": "814-337-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK K. VANDERVORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "VANDERVORT",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-336-3434",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007313200006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.