Individual provider Active NPI

Vanessa Vajdos, D.C.

  • Chiropractor
  • McQueeney, TX
National Provider Identifier
1457512733
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9718 Issued in TX
Practice address
1428 Terminal Loop
MC Queeney, TX 78123-3351
Phone
(830) 557-6740
NPI assigned
Jun 19, 2008
Last updated
Nov 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9718 TX Primary

Addresses

Primary practice location

1428 Terminal Loop
MC Queeney, TX 78123-3351

Mailing address

1428 Terminal Loop
MC Queeney, TX 78123-3351
Phone (830) 557-6740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100111000124 TX Practitioner - Chiropractic 2365583549 Practice locations: New Braunfels, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6781 FM
Suite 1102
New Braunfels, TX 78132-3411
Phone (830) 632-5008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9718TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1457512733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 TERMINAL LOOP",
            "city": "MC QUEENEY",
            "state": "TX",
            "postal_code": "781233351",
            "telephone_number": "830-557-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 TERMINAL LOOP",
            "city": "MC QUEENEY",
            "state": "TX",
            "postal_code": "781233351",
            "telephone_number": "830-557-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAJDOS",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McQueeney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.