JORDAN MICHAEL VAN DE VERE C. PED
NPI 1467042879
Pedorthist in Austin, TX

Q: What is Jordan Van De Vere's NPI number?

The NPI number for Jordan Van De Vere is 1467042879. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Q: What is Jordan Van De Vere's specialty?

The primary specialty registered for this NPI is Pedorthist with taxonomy code 224L00000X.

Active since January 20, 2021

4615 N LAMAR BLVD STE 305, AUSTIN, TX 78751(512) 476-5110(512) 476-5178 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jordan Michael Van De Vere C. Ped NPPES

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

JORDAN MICHAEL VAN DE VERE C. PED (NPI 1467042879) is an individual pedorthist provider in Austin, Texas and active in the NPI registry since January 2021. He maintains a secondary practice location in Austin.

NPPES Registry Identity

NPI1467042879

Entity TypeIndividualMale

Primary Taxonomy224L00000X

Provider Legal NameJORDAN MICHAEL VAN DE VERECredential: C. PED

Location Address4615 N LAMAR BLVD STE 305Austin, TX 78751-2357

Mailing Address9901 N Capital Of Texas Hwy Ste 120Austin, TX 78759-5853 · (512) 346-4400 · Fax (512) 346-3009

Phone(512) 476-5110

Fax(512) 476-5178

Sole ProprietorNo

Enumeration DateJanuary 20, 2021

NPPES CertifiedJanuary 19, 2021

✔ NPI 1467042879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code224L00000X

Definition

An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

4615 N LAMAR BLVD STE 305, Austin, TX 78751

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Secondary Practice Location 1

Location 19901 N Capital Of Texas Hwy Ste 120Austin, TX 78759-5853 · Phone (512) 346-4400 · Fax (512) 346-3009

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 Jordan Van De Vere's NPI number?

The NPI number for Jordan Van De Vere is 1467042879. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Jordan Van De Vere located?

Jordan Van De Vere practices at 4615 N Lamar Blvd Ste 305, Austin, TX 78751. The listed phone number is (512) 476-5110.

What is Jordan Van De Vere's specialty?

The primary specialty registered for this NPI is Pedorthist with taxonomy code 224L00000X.

When was this NPI record last updated?

The NPPES record for Jordan Van De Vere was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.