Individual provider Active NPI

John Kenneth Vandam

  • Chiropractor
  • Bandera, TX
National Provider Identifier
1932089646
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15631 Issued in FL
Practice address
650 State Highway 16 S
Bandera, TX 78003-3809
Phone
(830) 796-7200
NPI assigned
Sep 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16845 TX
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 15631 FL Primary

Addresses

Primary practice location

650 State Highway 16 S
Bandera, TX 78003-3809

Mailing address

650 State Highway 16 S
Bandera, TX 78003-3809
Phone (830) 796-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251113000630 FL Practitioner - Chiropractic 7416448873 Reassigns benefits to 1 organization
I20260507002929 TX Practitioner - Chiropractic 7416448873 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16845TXMDMental Health Counselor
15631FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hjcsquared, LLC Chiropractor CurrentSince Sep 4, 2025 Accepting new patients
JH Wellness PLLC Chiropractor Current Accepting new patients
RHC Health Services, LLC Chiropractor CurrentSince Sep 4, 2025 Accepting new patients

Locations

1813 Manatee Ave W
Bradenton, FL 34205
Phone (941) 761-1100

650 State Highway 16 S
Bandera, TX 78003
Phone (830) 265-4554

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RHC Health Services, LLC 4 clinicians

Practice addresses (Care Compare)

1813 Manatee Ave W
Bradenton, FL 34205-5926
Phone (941) 761-1100

650 State Hwy 16 S
Bandera, TX 78003-3809
Phone (830) 796-7200

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1932089646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 STATE HIGHWAY 16 S",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "780033809",
            "telephone_number": "830-796-7200",
            "fax_number": "830-796-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 STATE HIGHWAY 16 S",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "780033809",
            "telephone_number": "830-796-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDAM",
        "first_name": "JOHN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-03",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16845",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bandera, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.