Roy Neil Vandyke, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3465 Issued in NC

Practice address

11709 Fruehauf Dr Ste 101
Charlotte, NC 28273

Phone

(980) 209-0932

Fax

(980) 209-0962

NPI assigned

Jun 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Regent Park Chiropractic

  • Chiropractor
  • Fort Mill, SC
  • NPI 1447457841
  Medicare reassignment NPD
• Steele Creek Chiropractic, PLLC

  • Chiropractor
  • Charlotte, NC
  • NPI 1639731581
  NPD (past) Authorized official

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561852800000",
    "number": "1861694457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 CASTLECOVE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786643",
            "telephone_number": "704-778-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 FRUEHAUF DR STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28273",
            "telephone_number": "980-209-0932",
            "fax_number": "980-209-0962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8180 Regent Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297158423",
            "country_code": "US",
            "telephone_number": "803-396-1501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDYKE",
        "first_name": "ROY",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2019-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005453",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3104",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yenny Astrid-Angel Vanderwaerden, MD
• Mark Roger Vanderwel, MD
• Stacey Ann Vanderwel, RD, CSP, LDN
• Thomas Jackson Vandiver, MD
• Lesley Vandyck, MS CCC-SLP
• Ashley M Vanexel
• Kong Vang, DMD
• Lee Christopher Vang, DC
• Mary Vang
• Nancy Ann Vang, DO

• Chiropractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2019; 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.