Vanguard Medical Alliance

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC6579 Issued in TX

Legal business name

VANGUARD MEDICAL ALLIANCE

Practice address

16 Village LN
Suite 220
Colleyville, TX 76034-2946

Phone

(817) 485-2300

Fax

(817) 485-2356

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Mundheim, D.C.NPI 1558381855

Title

Director

Phone

(817) 485-2300

Specialties & licenses 1

Addresses

Other names 1

• Colleyville Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas James Mundheim, DC

  • Chiropractor
  • Colleyville, TX
  • NPI 1558381855
  NPD (past) Authorized official

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902819121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760341200",
            "telephone_number": "817-485-2300",
            "fax_number": "817-485-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 VILLAGE LN",
            "address_2": "SUITE 220",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760342946",
            "telephone_number": "817-485-2300",
            "fax_number": "817-485-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD MEDICAL ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNDHEIM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-485-2300",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colleyville Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan Michael Urrutia, DC
• Susan Diane Urry, CCC-SLP
• Binny Valera
• Van Beljon LLC
• Linda Vang
• Tanvi Rajendra Vankawala, DPT
• Tracy Denice Vasquez
• Andrea Melinn Veach
• Ruth Rachel Vendsel, LPC
• Jon P Verhalen, MD

• Chiropractor in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.