Individual provider Active NPI

Isaac Simeon Vandyken, D.C.

  • Chiropractor
  • Spring, TX
National Provider Identifier
1356447734
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10178 Issued in TX
Practice address
7215 Spring Cypress Rd Apt 1222
Spring, TX 77379-3290
Phone
(281) 298-9899
Fax
(281) 298-5686
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10178 TX Primary

Addresses

Primary practice location

7215 Spring Cypress Rd Apt 1222
Spring, TX 77379-3290

Mailing address

7215 Spring Cypress Rd Apt 1222
Spring, TX 77379-3290
Phone (281) 298-9899

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

LicenseStateTypeSpecialty
10178TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vandyken Inc Chiropractor PastSince Sep 1, 2006 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1356447734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 SPRING CYPRESS RD APT 1222",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793290",
            "telephone_number": "281-298-9899",
            "fax_number": "281-298-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 SPRING CYPRESS RD APT 1222",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793290",
            "telephone_number": "281-298-9899",
            "fax_number": "281-298-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDYKEN",
        "first_name": "ISAAC",
        "middle_name": "SIMEON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

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

Verify at the official NPI Registry.