Organization Active NPI

Nguyen Chiropractic Wellness Center, P.C.

  • Exclusive Provider Organization
  • San Jose, CA
National Provider Identifier
1053760272
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
DC29774 Issued in CA
Legal business name
NGUYEN CHIROPRACTIC WELLNESS CENTER, P.C.
Doing business as
CMC Chiropractic
Practice address
2114 Senter Rd
Suite 23
San Jose, CA 95112-2608
Phone
(408) 998-5463
Fax
(408) 998-5464
NPI assigned
Jun 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Chaunce Phoenyx, D.C.
Title
President
Phone
(408) 998-5463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X DC29774 CA Primary

Addresses

Primary practice location

2114 Senter Rd
Suite 23
San Jose, CA 95112-2608

Mailing address

2114 Senter Rd
Suite 23
San Jose, CA 95112-2608
Phone (408) 998-5463

Other names 1

  • CMC Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2114 Senter Rd
Ste 23
San Jose, CA 95112
Phone (408) 998-5463

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1053760272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 SENTER RD",
            "address_2": "SUITE 23",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122608",
            "telephone_number": "408-998-5463",
            "fax_number": "408-998-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 SENTER RD",
            "address_2": "SUITE 23",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122608",
            "telephone_number": "408-998-5463",
            "fax_number": "408-998-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN CHIROPRACTIC WELLNESS CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "PHOENYX",
        "authorized_official_first_name": "CHAUNCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-998-5463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "DC29774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMC Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CMC Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.