DR. JACK K VANDERVORT D.C.
NPI 1124082599
Chiropractor in Meadville, PA

Q: What is Jack Vandervort's NPI number?

The NPI number for Jack Vandervort is 1124082599. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Q: What is Jack Vandervort's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Vandervort was last updated on April 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2006

11581 STATE HWY 98, MEADVILLE, PA 16335(814) 336-3434(814) 337-8767 Get Directions Write a Review

NPPES record last updated: April 14, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jack K Vandervort D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK K VANDERVORT D.C. (NPI 1124082599) is an individual chiropractor in Meadville, Pennsylvania, licensed in Pennsylvania (DC001577L) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1124082599

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. JACK K VANDERVORTCredential: D.C.

Location Address11581 STATE HWY 98Meadville, PA 16335-7321

Mailing Address11581 State Hwy 98Meadville, PA 16335-7321 · (814) 336-3434 · Fax (814) 337-8767

Phone(814) 336-3434

Fax(814) 337-8767

Sole ProprietorYes

Enumeration DateApril 13, 2006

Last NPPES UpdateApril 14, 2010

✔ NPI 1124082599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in PA · DC001577L

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

11581 STATE HWY 98, Meadville, PA 16335

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Other Identifiers 2

Medicare ID-Type Unspecified098079J54PA

Medicaid0006316630002PA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACK K. VANDERVORT

Chiropractor

11581 STATE HWY 98
MEADVILLE, PA 16335

Crawford County (814) 336-3434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Vandervort's NPI number?

The NPI number for Jack Vandervort is 1124082599. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Jack Vandervort located?

Jack Vandervort practices at 11581 State Hwy 98, Meadville, PA 16335. The listed phone number is (814) 336-3434.

What is Jack Vandervort's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jack Vandervort was last updated on April 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.