Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Michael Van de Vere, CPED

Individual provider Pedorthist · NPI 1467042879

Jordan Michael Van de Vere, CPED is a Pedorthist in Austin, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2021

Practice location Address checks out

4615 N Lamar Blvd Ste 305
Austin, TX 78751-2357
Phone: (512) 476-5110
Fax: (512) 476-5178
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9901 N Capital Of Texas Hwy Ste 120, Austin, TX 78759-5853 — (512) 346-4400

Specialties & licences

Pedorthist (primary) Taxonomy 224L00000X (TX)

Record details

NPI number1467042879
Entity typeIndividual (Type 1)
GenderMale
Credentials CPED
Sole proprietorNo
NPI enumeratedJanuary 20, 2021
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 19, 2021

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