Active NPI
Pheomany Vandy, D.C.
- Chiropractor
- Fort Worth, TX
National Provider Identifier
1316149990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10594
- Practice address
- 6148 Bryant Irvin Rd
Fort Worth, TX 76132-4119 - Phone
- (817) 292-2200
- NPI assigned
- Jun 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10594 | TX | Primary |
Addresses
Primary practice location
6148 Bryant Irvin Rd
Fort Worth, TX 76132-4119
Mailing address
4250 E Renner Rd Apt 1827
Richardson, TX 75082-2853
Phone (469) 774-8193
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10594 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316149990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 E RENNER RD APT 1827",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750822853",
"telephone_number": "469-774-8193"
},
{
"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": {
"last_name": "VANDY",
"first_name": "PHEOMANY",
"name_prefix": "Ms.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_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 8, 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.