Individual provider Active NPI

Christine Nguyen, DC

  • Pediatric Chiropractor
  • Boise, ID
National Provider Identifier
1083208862
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
CHIA-2103 Issued in ID
Practice address
8505 W Overland Rd
Boise, ID 83709-1644
Phone
(208) 306-3757
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X CHIA-2013 ID
Pediatric Chiropractor 111NP0017X CHIA-2103 ID Primary

Addresses

Primary practice location

8505 W Overland Rd
Boise, ID 83709-1644

Mailing address

2817 Blackfoot LN Apt 102
Caldwell, ID 83605-7549

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL dr.christinenguyen.dc@gmail.com

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
CHIA-2013IDMDPediatric Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1083208862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 BLACKFOOT LN APT 102",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836057549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091644",
            "telephone_number": "208-306-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHRISTINE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "ID",
            "license": "CHIA-2013",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "ID",
            "license": "CHIA-2103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dr.christinenguyen.dc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "8505 W Overland Rd",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837091644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.