Active NPI 1811439136 Individual Practitioner Male Practitioner

Dr. Thomas Vanidestine , DC

Chiropractor • Tigard, OR

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Vanidestine, DC is a registered healthcare professional specializing in Chiropractor in Tigard, OR. Practice services are available at 9975 SW FREWING ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9975 Sw Frewing St
Suite #210

Tigard, OR 972235091

Telephone 5034441953

Fax 9712447246

Associated Practice Facility / Clinic

🏢 Tigard Vision World, P.c. Facility NPI 1780972778

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Tigard, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.6 Yrs

State Avg: 22.2 Yrs

Regional Practice Density

54 Specialists

Practicing in Tigard, OR (1950 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-30

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OR 5773

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Devan Williams

Chiropractor

NPI 1285376152

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 18, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 18, 2016

Registered at 9975 SW FREWING ST, SUITE #210, TIGARD, OR 972235091 (Tel: 5034441953)

📍

Updated Business Mailing Address November 18, 2016

Registered at 9975 SW FREWING ST, SUITE #210, TIGARD, OR 972235091 (Tel: 5034441953)

👤

Provider Name / Credentials Updated November 18, 2016

Recorded as THOMAS VANIDESTINE, D.C.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2016

Chiropractor (License #5773 in OR)

🟢

Initial NPI Registration & Enumeration November 17, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1811439136

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 17, 2016

Last Update: August 30, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9975 Sw Frewing St, Suite #210

Tigard, OR 972235091

Phone: 5034441953

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.