Organization Active NPI

Boone Chiropractic PLLC

  • Chiropractor
  • Boone, NC
National Provider Identifier
1992414387
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BOONE CHIROPRACTIC PLLC
Practice address
136 Furman Rd Ste 1
Boone, NC 28607-5038
Phone
(214) 837-2433
NPI assigned
Nov 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Dr. Vladimir Vedock, DCNPI 1013570704
Title
Owner/Sole Member
Phone
(828) 264-4521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

136 Furman Rd Ste 1
Boone, NC 28607-5038

Mailing address

136 Furman Rd Ste 1
Boone, NC 28607-5038
Phone (828) 264-4521

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230103003001 NC Part B Supplier - Clinic/Group Practice 0648640888 Receives reassigned benefits from 1 practitioner
Practice locations: Boone, NC

National Provider Directory

National Provider Directory

Locations

136 Furman Rd
Ste 1
Boone, NC 28607
Phone (214) 837-2433

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1992414387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 FURMAN RD STE 1",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075038",
            "telephone_number": "828-264-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 FURMAN RD STE 1",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075038",
            "telephone_number": "214-837-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "VEDOCK",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "828-264-4521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.