Individual provider Active NPI

Viet Quang Nguyen, D.C.

  • Chiropractor
  • Pinellas Park, FL
National Provider Identifier
1073742292
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9863 Issued in FL
Practice address
5580 Park Blvd
Ste. 2
Pinellas Park, FL 33781-3328
Phone
(727) 290-9820
Fax
(727) 498-6593
NPI assigned
Jul 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9863 FL Primary
Chiropractor 111N00000X CHIRO008441 GA
Acupuncturist 171100000X ACUPUNCTURE CERT. FL

Addresses

Primary practice location

5580 Park Blvd
Ste. 2
Pinellas Park, FL 33781-3328

Mailing address

5580 Park Blvd
Ste. 2
Pinellas Park, FL 33781-3328
Phone (727) 290-9820

Other identifiers 1

IdentifierTypeStateIssuer
CHIRO008441OtherGACHIROPRACTIC LICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO008441GAMDChiropractor
ACUPUNCTURE CERT.FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1073742292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 PARK BLVD",
            "address_2": "STE. 2",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813328",
            "telephone_number": "727-290-9820",
            "fax_number": "727-498-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 PARK BLVD",
            "address_2": "STE. 2",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813328",
            "telephone_number": "727-290-9820",
            "fax_number": "727-498-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VIET",
        "middle_name": "QUANG",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9863",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO008441",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "ACUPUNCTURE CERT.",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "CHIRO008441",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.