Individual provider Active NPI

Peter Tuyen Duong, D.C.

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1083099824
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13007 Issued in TX
Practice address
4200 SW Green Oaks Blvd Ste 100
Arlington, TX 76017-4162
Phone
(817) 478-5800
Fax
(817) 478-5803
NPI assigned
Jul 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13007 TX Primary

Addresses

Primary practice location

4200 SW Green Oaks Blvd Ste 100
Arlington, TX 76017-4162

Mailing address

3213 Ridge Trace Cir
Mansfield, TX 76063-5365
Phone (817) 473-4348

Other practice location 1

2000 S Belt Line Rd Ste 102
Grand Prairie, TX 75051-4157
Phone (214) 412-2422

Other practice location 2

2609 N Carroll Ave
Dallas, TX 75204-3000
Phone (469) 779-1946

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
13007TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Medical Solutions PLLC Past Accepting new patients
Ap Injury & Wellness, PLLC Chiropractor Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1083099824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 RIDGE TRACE CIR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635365",
            "telephone_number": "817-473-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SW GREEN OAKS BLVD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760174162",
            "telephone_number": "817-478-5800",
            "fax_number": "817-478-5803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 S Belt Line Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750514157",
            "country_code": "US",
            "telephone_number": "214-412-2422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2609 N Carroll Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752043000",
            "country_code": "US",
            "telephone_number": "469-779-1946",
            "fax_number": "469-779-1951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUONG",
        "first_name": "PETER",
        "middle_name": "TUYEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.