Lindsey Vandyke, D.O. PLLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

LINDSEY VANDYKE, D.O. PLLC

Practice address

1900 Matlock Rd Ste 304
Mansfield, TX 76063-4435

Phone

(817) 380-4880

Fax

(817) 788-8416

NPI assigned

Aug 13, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Lindsey Vandyke, DONPI 1871998880

Title

Physician/Managing Director

Phone

(817) 380-4880

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Institute for Diabetes & Endocrinology Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Lindsey Vandyke, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • Mansfield, TX
  • NPI 1871998880
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1316558349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MATLOCK RD STE 304",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634435",
            "telephone_number": "817-380-4880",
            "fax_number": "817-788-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MATLOCK RD STE 304",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634435",
            "telephone_number": "817-380-4880",
            "fax_number": "817-788-8416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 E Broad Street, Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "76063",
            "country_code": "US",
            "telephone_number": "682-422-9406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LINDSEY VANDYKE, D.O. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "VANDYKE",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "PHYSICIAN/MANAGING DIRECTOR",
        "authorized_official_telephone_number": "817-380-4880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "R7919",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.curemd.com",
            "affiliation": "N",
            "endpointDescription": "Data transmitted through EMR's secure cloud and eFax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3150 E Broad Street, Ste 100",
            "city": "Mansfield",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advanced Institute for Diabetes & Endocrinology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Institute for Diabetes & Endocrinology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Destiny Little-Bullock
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• Endocrinology, Diabetes & Metabolism Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Endocrinology, Diabetes & Metabolism Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.