Active NPI
Phuong T Nguyen, CHIROPRACTOR
- Chiropractor
- Las Vegas, NV
National Provider Identifier
1053614172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B00772
- Practice address
- 6260 Spring Mountain Rd Ste 105
Suite 105
Las Vegas, NV 89146-8867 - Phone
- (702) 896-6279
- Fax
- (702) 220-6853
- NPI assigned
- Dec 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | B00772 | NV | Primary |
Addresses
Primary practice location
6260 Spring Mountain Rd Ste 105
Suite 105
Las Vegas, NV 89146-8867
Mailing address
6260 Spring Mountain Rd Ste 105
Suite 105
Las Vegas, NV 89146-8867
Phone (702) 896-6279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B00772 | NV | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291939200000",
"number": "1053614172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6260 SPRING MOUNTAIN RD STE 105",
"address_2": "SUITE 105",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891468867",
"telephone_number": "702-896-6279",
"fax_number": "702-220-6853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6260 SPRING MOUNTAIN RD STE 105",
"address_2": "SUITE 105",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891468867",
"telephone_number": "702-896-6279",
"fax_number": "702-220-6853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PHUONG",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "CHIROPRACTOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-10",
"last_updated": "2010-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B00772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.