Kenneth Robert Vandyken, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60655952 Issued in WA

Practice address

1808 Longfitt St
Richland, WA 99352-3719

Phone

(360) 949-9890

NPI assigned

Jun 10, 2016

Last updated

Jun 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spinal and Sports Care Clinic P SGroup PAC ID 3971408881, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Spinal & Sports Care Clinic P S

  • Chiropractor
  • Spokane Valley, WA
  • NPI 1760699326
  Medicare reassignment Care Compare group NPD
• Forsberg Chiropractic Clinic, P.S.

  • Chiropractor
  • Richland, WA
  • NPI 1770785453
  NPD (past)
• Garberg Chiropractic PLLC

  • Chiropractor
  • Richland, WA
  • NPI 1821530353
  NPD (past)

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1528417466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 LONGFITT ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523719",
            "telephone_number": "360-949-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 LONGFITT ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523719",
            "telephone_number": "360-949-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDYKEN",
        "first_name": "KENNETH",
        "middle_name": "ROBERT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60655952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Vallee
• Sylvia L. Van Breda Vriesman, LMFT
• Ericka Rose Van Hoy, DO
• David D Vance, M.D.
• Chelsey Vandewall, RDH
• Pajyeebsuab Vang, COTA
• Darian Jerald Vangorkum, DPM
• Elayne Nicole Vanhollebeke
• David Kent Vankirk, CCP
• Mary Susan Vann, PH.D.

• Chiropractor in Richland, WA
• Providers in Richland, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.