Individual provider Active NPI

Jennifer Mary Vandeveegaete, D.C.

  • Chiropractor
  • Eastpointe, MI
National Provider Identifier
1912182239
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009410 Issued in MI
Practice address
19416 East Ten Mile Road
Eastpointe, MI 48021
Phone
(586) 774-7920
Fax
(586) 774-8336
NPI assigned
Jan 5, 2008
Last updated
Jun 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009410 MI Primary

Addresses

Primary practice location

19416 East Ten Mile Road
Eastpointe, MI 48021

Mailing address

19416 East Ten Mile Road
Eastpointe, MI 48021
Phone (586) 774-7920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190501002343 NC Practitioner - Chiropractic 4284712514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

305 E Main St
Beulaville, NC 28518-8705
Phone (910) 290-3150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beulaville Chiropractic PLLC Chiropractor CurrentSince Feb 5, 2019 Accepting new patients
Sam Chan PC Chiropractor Past Accepting new patients
Quest Health Systems VI PLLC Chiropractor PastSince Sep 1, 2020 Accepting new patients
Chiromed Center, Inc Chiropractor Past Accepting new patients
Bryan a. Baetens, D.C., P.C. Chiropractor PastSince Feb 2, 1995 Accepting new patients

Locations

305 E Main St
Beulaville, NC 28518
Phone (910) 290-3150

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1199491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1912182239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19416 EAST TEN MILE ROAD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "48021",
            "telephone_number": "586-774-7920",
            "fax_number": "586-774-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19416 EAST TEN MILE ROAD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "48021",
            "telephone_number": "586-774-7920",
            "fax_number": "586-774-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEVEEGAETE",
        "first_name": "JENNIFER",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-05",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.