Active NPI
Nguyen Chiropractic Wellness Center, P.C.
- Exclusive Provider Organization
- San Jose, CA
National Provider Identifier
1053760272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- DC29774
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.