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Jack K. Vandervort

Jack K. Vandervort is a healthcare organization registered as Chiropractor in Meadville, PA, holding Type 2 (organization) NPI 1285696773 since 2006. The authorized official on file is Maureen Vandervort, Office Manager.

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NPI 1285696773
Entity type Organization (Type 2)
Legal business name Jack K. Vandervort
Other name <Unavail>
Practice address 11581 STATE HWY 98, Meadville, PA, 16335
Phone 8143363434
Fax 8143378767
Enumeration date 2006-04-03
Last updated in NPPES 2010-04-28

Authorized official

Name Maureen Vandervort
Title Office Manager
Phone 8143363434

Taxonomy & classification

Taxonomy code Specialty Primary License State
111N00000X Chiropractor Primary

Other identifiers

Identifier Type State Issuer
1007313200006 Medicaid PA
Copy-ready billing details
Provider: Jack K. Vandervort
NPI: 1285696773
Taxonomy: 111N00000X (Chiropractor)
Address: 11581 STATE HWY 98, Meadville, PA, 16335

Providers at this address

NPI Name Type Specialty Location
1124082599 Jack Vandervort Individual Chiropractor Meadville, PA

Verify this record

Cross-check NPI 1285696773 against the authoritative CMS record: view Jack K. Vandervort on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-04-28. Verify at npiregistry.cms.hhs.gov.
Where is Jack K. Vandervort located?
The practice location on file with NPPES is in Meadville, PA.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2010-04-28.