Organization Active NPI

Vardy Chiropractic and Wellness Clinics

  • Chiropractor
  • Wendell, NC
National Provider Identifier
1366525149
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VARDY CHIROPRACTIC AND WELLNESS CLINICS
Practice address
2555 Wendell Blvd
Wendell, NC 27591-6902
Phone
(919) 366-3111
Fax
(919) 366-3366
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Mr. Mark Thomas Vardy, D.C.NPI 1912008640
Title
Owner
Phone
(919) 366-3111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

2555 Wendell Blvd
Wendell, NC 27591-6902

Mailing address

PO Box 92
Wendell, NC 27591-0092
Phone (919) 366-3111

Other practice location 1

126 Pritchard Rd Ste 102
Clayton, NC 27527-9297
Phone (919) 366-3111

Other practice location 2

1104 Great Falls Ct
Knightdale, NC 27545-7396
Phone (919) 366-3111

Other identifiers 1

IdentifierTypeStateIssuer
017N6OtherNCBCBS GROUP #

Other names 1

  • Wendell Family Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080401000517 NC Part B Supplier - Clinic/Group Practice 9234160409 Receives reassigned benefits from 7 practitioners
Practice locations: Wendell, NC; Knightdale, NC

National Provider Directory

National Provider Directory

Locations

126 Pritchard Rd
#102
Clayton, NC 27527
Phone (919) 366-3111

1104 Great Falls Ct
Knightdale, NC 27545
Phone (919) 366-3111

1016 Shoppes At Midway Dr
Ste C
Knightdale, NC 27545
Phone (919) 217-8806

2555 Wendell Blvd
#A
Wendell, NC 27591
Phone (919) 366-3111

2825 Wendell Blvd
Wendell, NC 27591
Phone (919) 366-3111

2555 Wendell Blvd
Wendell, NC 27591
Phone (919) 366-3111

Practitioners & affiliated clinicians

Practitioners 11

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1366525149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275910092",
            "telephone_number": "919-366-3111",
            "fax_number": "919-366-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 WENDELL BLVD",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275916902",
            "telephone_number": "919-366-3111",
            "fax_number": "919-366-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Pritchard Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275279297",
            "country_code": "US",
            "telephone_number": "919-366-3111",
            "fax_number": "919-366-3366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1104 Great Falls Ct",
            "address_purpose": "LOCATION",
            "city": "Knightdale",
            "state": "NC",
            "postal_code": "275457396",
            "country_code": "US",
            "telephone_number": "919-366-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VARDY CHIROPRACTIC AND WELLNESS CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "VARDY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-366-3111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "017N6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wendell Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wendell, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.