NPI age
5 years
Enumerated 2021-01-20
● Active
Type 1 · Individual
Jordan Michael Van De Vere, C. PED
Van De Vere is 1 of 2 pedorthist providers in Austin and 1 of 25 in Texas.
Primary specialty
Pedorthist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-01-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 25 active pedorthist providers in Texas.
NPI age
5 years
↓ 3 yr below median (8 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-01Enumerated in NPPES
2021
2026
Where they practice
Practice location
4615 N Lamar Blvd Ste 305
Austin, TX 787512357
Mailing address
9901 N Capital Of Texas Hwy Ste 120
Austin, TX 787595853
Additional practice locations
1 secondary location on file with NPPES.
Location 2
9901 N Capital Of Texas Hwy Ste 120
Austin, TX 787595853
Specialties
-
Pedorthist PrimaryAn 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.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.